hcpcs	source	category	cms_code	description	unit	price	nf_quantity	f_quantity	global_period	reference_code	ruc_meeting	ruc_tab
10021	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	88170		
10021	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX	88170		
10021	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	2		XXX	88170		
10021	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		XXX	88170		
10021	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		XXX	88170		
10021	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	88170		
10021	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		XXX	88170		
10021	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX	88170		
10021	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	5		XXX	88170		
10021	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX	88170		
10021	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	88170		
10021	RUC	Lab	SL020	bleach	ml	0.001	50		XXX	88170		
10021	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		XXX	88170		
10021	RUC	Lab	SL071	fixative spray	ml	0.047	0.2		XXX	88170		
10021	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	6.652	2		XXX	88170		
10022	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		XXX	88171		
10022	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	88171		
10022	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	88171		
10022	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX	88171		
10022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	88171		
10022	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	2		XXX	88171		
10022	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX	88171		
10022	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.477	2		XXX	88171		
10022	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		XXX	88171		
10022	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX	88171		
10022	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX	88171		
10022	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	88171		
10022	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	88171		
10030	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 1
10030	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 1
10030	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT14	May 1
10030	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 1
10030	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 1
10030	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		CPT14	May 1
10030	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 1
10030	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	1		000		CPT14	May 1
10030	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		CPT14	May 1
10030	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		CPT14	May 1
10030	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		CPT14	May 1
10030	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		CPT14	May 1
10030	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 1
10030	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 1
10030	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 1
10030	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 1
10030	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000		CPT14	May 1
10030	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT14	May 1
10030	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 1
10030	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT14	May 1
10030	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT14	May 1
10030	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT14	May 1
10030	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 1
10040	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
10040	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010			
10040	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	14		010			
10040	PEAC	"Cutters, Closures, Cautery"	SF022	comedone extractor	item	3	1		010			
10040	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
10040	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	5	4	010			
10040	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
10040	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
10040	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
10060	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
10060	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
10060	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
10060	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010			
10060	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
10060	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		010			
10060	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
10060	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1	1	010			
10060	PEAC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.516	1		010			
10060	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	10	6	010			
10060	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
10060	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010			
10060	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	10	010			
10060	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10	10	010			
10060	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
10061	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	MD Time
10061	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
10061	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
10061	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
10061	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
10061	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
10061	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010			
10061	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
10061	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1	1	010			
10061	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	3	1	010			
10061	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	1	010			
10061	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		010			
10061	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		010			
10061	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	1	010			
10061	PEAC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023	1	1	010			
10061	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
10061	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	5	010			
10061	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10	3	010			
10061	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
10061	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	010			
10080	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
10080	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
10080	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
10080	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
10080	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
10080	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
10080	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010			
10080	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
10080	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
10080	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
10080	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010			
10080	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010			
10080	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
10080	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
10080	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
10080	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
10080	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
10080	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
10080	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
10080	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
10080	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
10080	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
10080	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010			
10080	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
10080	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
10080	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		010			
10080	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
10080	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
10080	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
10080	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
10081	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
10081	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
10081	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
10081	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
10081	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
10081	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
10081	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010			
10081	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
10081	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
10081	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
10081	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010			
10081	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010			
10081	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
10081	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
10081	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
10081	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
10081	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
10081	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
10081	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
10081	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
10081	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
10081	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
10081	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
10081	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
10081	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
10081	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
10081	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010			
10081	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
10081	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
10081	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		010			
10081	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
10081	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
10081	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
10120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	MD Time
10120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	MD Time
10120	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Aug03	5
10120	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
10120	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
10120	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
10120	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
10120	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
10120	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
10120	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Aug03	5
10120	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
10120	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Aug03	5
10120	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
10120	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
10120	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
10120	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
10121	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
10121	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
10121	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
10121	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Aug03	5
10121	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Aug03	5
10121	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
10121	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
10121	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Aug03	5
10121	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Aug03	5
10121	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
10121	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
10121	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Aug03	5
10121	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Aug03	5
10121	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Aug03	5
10121	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Aug03	5
10121	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Aug03	5
10121	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
10121	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Aug03	5
10121	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
10140	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
10140	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
10140	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
10140	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Aug03	5
10140	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
10140	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
10140	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
10140	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
10140	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
10140	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Aug03	5
10140	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
10140	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
10140	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
10160	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
10160	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Aug03	5
10160	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
10160	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
10160	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		010		Aug03	5
10160	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010		Aug03	5
10160	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
10160	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Aug03	5
10160	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
10160	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
10160	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
10180	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
10180	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
10180	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
10180	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
10180	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
10180	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
10180	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
10180	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
10180	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
10180	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
10180	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
10180	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
10180	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
10180	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
10180	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
10180	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
10180	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
10180	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
10180	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
11000	PEAC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000			
11000	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
11000	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
11000	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
11000	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
11000	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
11000	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
11000	PEAC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
11000	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
11000	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
11000	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		000			
11000	PEAC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.516	1		000			
11000	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	3		000			
11000	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
11000	PEAC	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.136	1		000			
11000	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000			
11000	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
11001	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ			
11001	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		ZZZ			
11001	PEAC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.516	1		ZZZ			
11001	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	3		ZZZ			
11001	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		ZZZ			
11001	PEAC	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.136	1		ZZZ			
11001	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ			
11001	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		ZZZ			
11010	PEAC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		010			
11010	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1		010			
11010	PEAC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
11010	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		010			
11010	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
11010	PEAC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	18.076	1		010			
11010	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
11010	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
11010	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
11010	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010			
11010	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		010			
11010	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
11010	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		010			
11010	PEAC	"Gown, Drape"	SB038	safety glasses	item	2.902	2		010			
11010	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		010			
11010	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
11010	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
11010	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11010	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
11010	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
11010	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11010	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11010	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		010			
11010	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	5		010			
11010	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		010			
11010	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010			
11010	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010			
11010	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11010	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010			
11010	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		010			
11010	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
11010	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010			
11010	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010			
11010	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
11010	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
11011	PEAC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		000			
11011	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1		000			
11011	PEAC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
11011	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000			
11011	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
11011	PEAC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	18.076	1		000			
11011	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		000			
11011	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		000			
11011	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		000			
11011	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		000			
11011	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000			
11011	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
11011	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		000			
11011	PEAC	"Gown, Drape"	SB038	safety glasses	item	2.902	2		000			
11011	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
11011	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
11011	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
11011	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
11011	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
11011	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000			
11011	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
11011	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
11011	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		000			
11011	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	5		000			
11011	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		000			
11011	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000			
11011	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
11011	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
11011	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		000			
11011	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000			
11011	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
11011	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
11011	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
11011	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
11011	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		000			
11012	PEAC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		000			
11012	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1		000			
11012	PEAC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
11012	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000			
11012	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
11012	PEAC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	18.076	1		000			
11012	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		000			
11012	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		000			
11012	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		000			
11012	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		000			
11012	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000			
11012	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
11012	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		000			
11012	PEAC	"Gown, Drape"	SB038	safety glasses	item	2.902	2		000			
11012	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
11012	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
11012	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
11012	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
11012	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
11012	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000			
11012	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
11012	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
11012	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		000			
11012	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	5		000			
11012	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		000			
11012	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000			
11012	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
11012	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
11012	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		000			
11012	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000			
11012	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
11012	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
11012	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
11012	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
11012	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		000			
11042	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT11	25
11042	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	25
11042	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT11	25
11042	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT11	25
11042	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	25
11042	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT11	25
11042	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	25
11042	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT11	25
11042	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	25
11042	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	25
11042	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		000		CPT11	25
11042	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		000		CPT11	25
11042	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	25
11042	RUC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	72		000		CPT11	25
11042	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	25
11042	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	10		000		CPT11	25
11042	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT11	25
11042	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		CPT11	25
11042	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		000		CPT11	25
11043	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT11	25
11043	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	25
11043	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT11	25
11043	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT11	25
11043	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	25
11043	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	25
11043	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	25
11043	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT11	25
11043	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	25
11043	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT11	25
11043	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT11	25
11043	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	25
11043	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	3		000		CPT11	25
11043	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	2		000		CPT11	25
11043	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	25
11043	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	25
11043	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT11	25
11043	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	6		000		CPT11	25
11043	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT11	25
11043	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		CPT11	25
11043	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT11	25
11043	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000		CPT11	25
11043	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT11	25
11043	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		000		CPT11	25
11044	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT11	25
11044	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	25
11044	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT11	25
11044	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT11	25
11044	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	25
11044	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	25
11044	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	25
11044	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT11	25
11044	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	25
11044	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT11	25
11044	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT11	25
11044	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	25
11044	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	3		000		CPT11	25
11044	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	2		000		CPT11	25
11044	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	25
11044	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT11	25
11044	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT11	25
11044	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	6		000		CPT11	25
11044	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT11	25
11044	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		CPT11	25
11044	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT11	25
11044	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000		CPT11	25
11044	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT11	25
11044	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		000		CPT11	25
11045	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		ZZZ		CPT11	25
11045	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		ZZZ		CPT11	25
11045	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		ZZZ		CPT11	25
11045	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT11	25
11045	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		CPT11	25
11046	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		ZZZ		CPT11	25
11046	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT11	25
11046	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	6		ZZZ		CPT11	25
11046	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		CPT11	25
11046	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ		CPT11	25
11047	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		ZZZ		CPT11	25
11047	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT11	25
11047	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT11	25
11047	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	6		ZZZ		CPT11	25
11047	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		CPT11	25
11047	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ		CPT11	25
11055	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
11055	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
11055	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
11055	PEAC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
11055	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
11055	PEAC	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.23	1		000			
11055	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
11055	PEAC	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.761	1		000			
11055	PEAC	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.122	4		000			
11055	PEAC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	6		000			
11055	PEAC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		000			
11055	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
11056	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
11056	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
11056	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
11056	PEAC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
11056	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
11056	PEAC	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.23	1		000			
11056	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
11056	PEAC	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.761	1		000			
11056	PEAC	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.122	6		000			
11056	PEAC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	6		000			
11056	PEAC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		000			
11056	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
11057	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
11057	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
11057	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
11057	PEAC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
11057	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
11057	PEAC	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.23	1		000			
11057	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
11057	PEAC	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.761	1		000			
11057	PEAC	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.122	8		000			
11057	PEAC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	6		000			
11057	PEAC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		000			
11057	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
11100	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000			
11100	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
11100	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
11100	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
11100	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
11100	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
11100	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
11100	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
11100	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
11100	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
11100	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
11100	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
11100	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
11100	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
11100	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000			
11100	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
11100	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
11100	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
11100	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
11101	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		ZZZ			
11101	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ			
11101	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		ZZZ			
11101	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ			
11101	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ			
11101	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		ZZZ			
11101	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		ZZZ			
11200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11200	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11200	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11200	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		010			
11200	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		010			
11200	PEAC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	5		010			
11200	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	12		010			
11200	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010			
11300	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11300	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11300	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		CPT13	May 40
11300	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		CPT13	May 40
11300	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 40
11300	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11300	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11300	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11300	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11300	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 40
11300	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT13	May 40
11300	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		000		CPT13	May 40
11300	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	4		000		CPT13	May 40
11300	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11300	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11300	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11300	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	2		000		CPT13	May 40
11300	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11301	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11301	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11301	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11301	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		CPT13	May 40
11301	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		CPT13	May 40
11301	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 40
11301	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11301	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11301	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11301	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11301	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 40
11301	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT13	May 40
11301	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8		000		CPT13	May 40
11301	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	4		000		CPT13	May 40
11301	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11301	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11301	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11301	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11301	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	4		000		CPT13	May 40
11301	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11302	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11302	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11302	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11302	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 40
11302	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000		CPT13	May 40
11302	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000		CPT13	May 40
11302	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11302	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11302	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11302	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11302	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	1		000		CPT13	May 40
11302	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000		CPT13	May 40
11302	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		CPT13	May 40
11302	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		000		CPT13	May 40
11302	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	8		000		CPT13	May 40
11302	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11302	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11302	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11302	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11302	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	6		000		CPT13	May 40
11302	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11303	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11303	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11303	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 40
11303	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000		CPT13	May 40
11303	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000		CPT13	May 40
11303	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11303	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11303	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11303	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11303	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	1		000		CPT13	May 40
11303	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		000		CPT13	May 40
11303	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		000		CPT13	May 40
11303	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12		000		CPT13	May 40
11303	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	8		000		CPT13	May 40
11303	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		000		CPT13	May 40
11303	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11303	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11303	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11303	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	8		000		CPT13	May 40
11303	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11305	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11305	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11305	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		CPT13	May 40
11305	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		CPT13	May 40
11305	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 40
11305	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11305	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11305	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11305	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11305	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 40
11305	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT13	May 40
11305	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		000		CPT13	May 40
11305	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	4		000		CPT13	May 40
11305	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11305	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11305	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11305	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11305	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	2		000		CPT13	May 40
11305	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11306	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11306	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11306	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 40
11306	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		CPT13	May 40
11306	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 40
11306	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11306	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11306	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11306	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11306	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 40
11306	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT13	May 40
11306	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8		000		CPT13	May 40
11306	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	4		000		CPT13	May 40
11306	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11306	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11306	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11306	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11306	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	4		000		CPT13	May 40
11306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11307	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11307	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11307	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 40
11307	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000		CPT13	May 40
11307	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 40
11307	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11307	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11307	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11307	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11307	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	1		000		CPT13	May 40
11307	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000		CPT13	May 40
11307	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		CPT13	May 40
11307	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		000		CPT13	May 40
11307	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	8		000		CPT13	May 40
11307	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11307	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11307	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11307	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11307	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	6		000		CPT13	May 40
11307	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11308	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11308	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11308	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 40
11308	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000		CPT13	May 40
11308	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000		CPT13	May 40
11308	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11308	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11308	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11308	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11308	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	1		000		CPT13	May 40
11308	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		000		CPT13	May 40
11308	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		000		CPT13	May 40
11308	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12		000		CPT13	May 40
11308	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	8		000		CPT13	May 40
11308	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		000		CPT13	May 40
11308	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11308	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11308	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11308	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	8		000		CPT13	May 40
11308	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11310	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11310	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11310	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		CPT13	May 40
11310	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		CPT13	May 40
11310	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 40
11310	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11310	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11310	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11310	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11310	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 40
11310	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT13	May 40
11310	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		000		CPT13	May 40
11310	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	4		000		CPT13	May 40
11310	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11310	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11310	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11310	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11310	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	2		000		CPT13	May 40
11310	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11311	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 21
11311	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT13	May 21
11311	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT13	May 21
11311	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 21
11311	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 21
11311	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 21
11311	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		CPT13	May 21
11311	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 21
11311	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT13	May 21
11311	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 21
11311	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 21
11311	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT13	May 21
11311	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		CPT13	May 21
11311	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 21
11311	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		000		CPT13	May 21
11311	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 21
11312	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11312	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11312	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11312	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 40
11312	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000		CPT13	May 40
11312	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000		CPT13	May 40
11312	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11312	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11312	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11312	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11312	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	1		000		CPT13	May 40
11312	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000		CPT13	May 40
11312	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		CPT13	May 40
11312	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		000		CPT13	May 40
11312	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	8		000		CPT13	May 40
11312	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 40
11312	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11312	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11312	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11312	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	6		000		CPT13	May 40
11312	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11313	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 40
11313	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT13	May 40
11313	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 40
11313	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000		CPT13	May 40
11313	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000		CPT13	May 40
11313	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT13	May 40
11313	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT13	May 40
11313	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	4		000		CPT13	May 40
11313	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 40
11313	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	1		000		CPT13	May 40
11313	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		000		CPT13	May 40
11313	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		000		CPT13	May 40
11313	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12		000		CPT13	May 40
11313	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	8		000		CPT13	May 40
11313	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		000		CPT13	May 40
11313	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 40
11313	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 40
11313	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 40
11313	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.21	8		000		CPT13	May 40
11313	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	May 40
11400	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11400	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11400	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11400	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11400	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11400	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11400	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11400	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11400	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11400	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11400	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11400	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11400	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11400	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11400	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11400	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11400	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11400	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11401	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11401	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11401	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11401	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11401	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11401	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11401	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11401	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11401	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11401	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11401	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11401	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11401	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11401	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11401	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11401	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11401	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11401	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11401	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11402	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11402	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11402	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11402	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11402	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11402	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11402	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11402	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11402	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11402	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11402	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11402	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11402	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11402	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11402	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		010			
11402	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11402	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11402	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11402	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11402	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11403	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11403	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11403	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11403	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11403	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11403	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11403	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11403	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11403	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11403	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11403	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11403	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11403	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11403	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11403	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
11403	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11403	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2	1	010			
11403	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11403	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11403	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11404	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11404	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11404	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11404	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11404	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11404	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11404	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11404	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
11404	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11404	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11404	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11404	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11404	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11404	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	010			
11404	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	30		010			
11404	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11404	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2	1	010			
11404	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11404	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11404	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11406	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11406	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11406	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11406	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11406	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11406	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11406	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11406	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
11406	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11406	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11406	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11406	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11406	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11406	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	010			
11406	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
11406	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11406	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3	1	010			
11406	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11406	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11406	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11420	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11420	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11420	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11420	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11420	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11420	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11420	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11420	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11420	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11420	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11420	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11420	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11420	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11420	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11420	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11420	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11420	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11420	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11421	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11421	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11421	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11421	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11421	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11421	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11421	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11421	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11421	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11421	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11421	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11421	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11421	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11421	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11421	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11421	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11421	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11421	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11422	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11422	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11422	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11422	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11422	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11422	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11422	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11422	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11422	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11422	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11422	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11422	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11422	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11422	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11422	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11422	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11422	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11422	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11422	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11423	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11423	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11423	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11423	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11423	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11423	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11423	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11423	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11423	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11423	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11423	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11423	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11423	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11423	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11423	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11423	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11423	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11423	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11423	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11424	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	2	1	010			
11424	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11424	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11424	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11424	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11424	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11424	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11424	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
11424	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11424	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11424	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11424	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11424	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11424	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	010			
11424	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11424	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11424	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11424	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11424	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11426	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	2	1	010			
11426	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11426	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11426	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11426	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11426	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11426	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11426	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
11426	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11426	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11426	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11426	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11426	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11426	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	010			
11426	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11426	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11426	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3	1	010			
11426	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11426	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11440	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11440	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11440	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11440	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11440	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11440	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11440	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11440	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11440	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11440	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11440	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11440	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11440	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11440	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11440	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11440	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11440	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11440	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11440	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11441	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11441	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11441	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11441	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11441	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11441	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11441	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11441	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11441	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11441	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11441	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11441	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11441	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11441	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11441	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11441	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	010			
11441	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11441	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11441	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11442	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11442	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11442	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11442	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11442	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11442	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11442	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11442	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11442	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11442	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11442	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11442	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11442	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11442	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11442	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		010			
11442	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11442	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2	1	010			
11442	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11442	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11442	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11443	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11443	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11443	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11443	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11443	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11443	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11443	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11443	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11443	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11443	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11443	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11443	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11443	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11443	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11443	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		010			
11443	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11443	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2	1	010			
11443	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11443	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11443	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11444	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	2	1	010			
11444	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11444	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11444	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11444	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11444	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11444	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11444	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
11444	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11444	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11444	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11444	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11444	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11444	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	010			
11444	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
11444	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11444	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2	1	010			
11444	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11444	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11444	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11446	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	2	1	010			
11446	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11446	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11446	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11446	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11446	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11446	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11446	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
11446	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
11446	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11446	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11446	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11446	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11446	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	010			
11446	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	30		010			
11446	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11446	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3	1	010			
11446	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11446	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11446	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11450	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
11450	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
11450	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
11450	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	4		090			
11450	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
11450	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
11450	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
11450	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
11450	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
11450	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
11450	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
11450	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
11450	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
11450	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
11450	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
11450	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090			
11450	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
11450	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12		090			
11450	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090			
11450	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090			
11450	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	25		090			
11450	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		090			
11451	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
11451	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
11451	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
11451	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	4		090			
11451	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
11451	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
11451	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
11451	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
11451	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
11451	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
11451	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
11451	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
11451	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
11451	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
11451	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
11451	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090			
11451	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
11451	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12		090			
11451	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090			
11451	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090			
11451	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	25		090			
11451	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		090			
11462	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
11462	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
11462	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
11462	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	4		090			
11462	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
11462	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
11462	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
11462	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
11462	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
11462	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
11462	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
11462	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
11462	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
11462	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
11462	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
11462	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090			
11462	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
11462	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12		090			
11462	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090			
11462	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090			
11462	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	25		090			
11462	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		090			
11463	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
11463	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
11463	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
11463	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	4		090			
11463	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
11463	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
11463	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
11463	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
11463	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
11463	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
11463	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
11463	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
11463	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
11463	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
11463	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
11463	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090			
11463	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
11463	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12		090			
11463	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090			
11463	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090			
11463	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	25		090			
11463	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		090			
11470	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
11470	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
11470	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
11470	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	4		090			
11470	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
11470	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
11470	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
11470	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
11470	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
11470	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
11470	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
11470	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
11470	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
11470	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
11470	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
11470	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090			
11470	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
11470	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12		090			
11470	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090			
11470	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090			
11470	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	25		090			
11470	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		090			
11471	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
11471	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
11471	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
11471	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	4		090			
11471	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
11471	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
11471	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
11471	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
11471	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
11471	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
11471	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
11471	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
11471	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
11471	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
11471	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
11471	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090			
11471	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
11471	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12		090			
11471	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090			
11471	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090			
11471	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	25		090			
11471	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		090			
11600	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11600	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11600	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11600	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11600	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11600	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11600	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11600	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11600	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11600	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11600	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11600	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11600	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11600	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11600	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11600	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11600	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11600	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11600	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11600	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11600	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11600	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11600	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11601	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11601	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11601	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11601	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11601	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11601	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11601	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11601	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11601	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11601	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11601	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11601	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11601	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11601	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11601	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11601	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11601	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11601	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11601	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11601	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11601	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11601	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11601	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11601	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11602	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11602	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11602	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11602	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11602	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11602	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11602	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11602	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11602	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11602	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11602	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11602	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11602	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11602	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11602	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11602	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11602	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11602	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11602	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11602	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11602	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11602	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11602	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11602	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11603	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11603	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11603	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11603	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11603	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11603	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11603	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11603	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11603	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11603	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11603	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11603	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11603	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11603	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11603	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11603	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11603	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11603	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11603	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11603	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11603	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11603	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11603	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11603	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11604	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11604	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11604	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11604	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11604	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11604	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11604	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11604	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11604	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
11604	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11604	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11604	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11604	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11604	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11604	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11604	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11604	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11604	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11604	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11604	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11604	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11604	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11604	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11604	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11606	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11606	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11606	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11606	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11606	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11606	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11606	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11606	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11606	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
11606	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11606	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11606	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11606	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11606	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		010			
11606	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11606	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11606	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11606	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11606	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11606	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11606	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11606	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11606	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11606	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11606	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11620	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11620	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11620	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11620	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11620	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11620	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11620	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11620	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11620	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11620	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11620	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11620	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11620	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11620	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11620	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11620	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11620	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11620	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11620	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11620	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11620	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11620	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11620	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11620	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11621	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11621	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11621	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11621	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11621	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11621	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11621	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11621	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11621	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11621	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11621	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11621	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11621	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11621	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11621	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11621	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11621	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11621	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11621	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11621	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11621	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11621	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11621	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11621	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11622	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11622	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11622	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11622	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11622	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11622	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11622	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11622	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11622	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11622	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11622	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11622	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11622	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11622	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11622	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11622	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11622	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11622	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11622	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11622	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11622	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11622	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11622	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11622	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11623	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11623	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11623	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11623	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11623	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11623	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11623	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11623	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11623	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
11623	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11623	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11623	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11623	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11623	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11623	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11623	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11623	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11623	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11623	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11623	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11623	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11623	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11623	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11623	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11624	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11624	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11624	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11624	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11624	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11624	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11624	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11624	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11624	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
11624	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11624	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11624	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11624	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11624	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		010			
11624	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11624	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11624	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11624	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11624	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11624	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11624	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11624	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11624	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11624	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11626	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11626	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11626	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11626	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11626	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11626	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11626	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11626	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11626	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
11626	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11626	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11626	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11626	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11626	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		010			
11626	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11626	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11626	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11626	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11626	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11626	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11626	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11626	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11626	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11626	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11626	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11640	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11640	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11640	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11640	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11640	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11640	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11640	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11640	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11640	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11640	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11640	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11640	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11640	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11640	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11640	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11640	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11640	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11640	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11640	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11640	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11640	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11640	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11640	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11640	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11641	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11641	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11641	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11641	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11641	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11641	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11641	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11641	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11641	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11641	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11641	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11641	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11641	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11641	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11641	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11641	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11641	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11641	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11641	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11641	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11641	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11641	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11641	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11641	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11642	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11642	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11642	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11642	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11642	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11642	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11642	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11642	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11642	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11642	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11642	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11642	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11642	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11642	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11642	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11642	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11642	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11642	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11642	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11642	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11642	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11642	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11642	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11642	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11643	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11643	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11643	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11643	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11643	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11643	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11643	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11643	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11643	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
11643	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11643	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11643	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11643	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11643	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11643	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11643	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
11643	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
11643	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11643	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11643	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11643	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11643	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11643	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11643	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11644	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11644	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11644	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11644	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11644	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11644	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11644	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11644	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11644	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
11644	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11644	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11644	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11644	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11644	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11644	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11644	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11644	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	2	010			
11644	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11644	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11644	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11644	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11644	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11644	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11644	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11646	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
11646	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11646	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
11646	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
11646	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11646	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11646	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
11646	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
11646	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
11646	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11646	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11646	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
11646	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11646	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11646	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
11646	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		010			
11646	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	2	010			
11646	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11646	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
11646	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
11646	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
11646	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
11646	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
11646	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11719	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		CPT13	Mar 15
11719	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000		CPT13	Mar 15
11719	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	Mar 15
11719	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		000		CPT13	Mar 15
11719	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT13	Mar 15
11720	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
11720	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
11720	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
11720	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
11720	PEAC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		000			
11720	PEAC	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.301	1		000			
11720	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
11720	PEAC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		000			
11720	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000			
11720	PEAC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000			
11720	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000			
11720	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
11721	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
11721	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
11721	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
11721	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
11721	PEAC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		000			
11721	PEAC	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.301	1		000			
11721	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
11721	PEAC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		000			
11721	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000			
11721	PEAC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000			
11721	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000			
11721	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
11730	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
11730	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
11730	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
11730	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
11730	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000			
11730	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
11730	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
11730	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
11730	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
11730	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
11730	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
11730	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000			
11730	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
11730	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
11730	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		000			
11730	PEAC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.516	1		000			
11730	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
11730	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		000			
11730	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		000			
11730	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
11730	PEAC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	0.5		000			
11730	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		000			
11730	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
11730	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
11732	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ			
11732	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		ZZZ			
11732	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		ZZZ			
11732	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		ZZZ			
11732	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ			
11732	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		ZZZ			
11732	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		ZZZ			
11732	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		ZZZ			
11732	PEAC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	0.5		ZZZ			
11732	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		ZZZ			
11732	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ			
11740	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	5
11740	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		000		Aug03	5
11740	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		000		Aug03	5
11740	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Aug03	5
11740	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Aug03	5
11740	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Aug03	5
11740	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000		Aug03	5
11740	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Aug03	5
11740	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Aug03	5
11740	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Aug03	5
11740	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		Aug03	5
11750	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		010			
11750	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010			
11750	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
11750	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11750	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
11750	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010			
11750	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11750	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
11750	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
11750	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	3		010			
11750	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
11750	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010			
11750	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		010			
11750	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11750	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
11750	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
11750	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11750	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		010			
11750	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1	1	010			
11750	PEAC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.516	1	1	010			
11750	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1	1	010			
11750	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
11750	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		010	0		
11750	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		010			
11750	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010			
11750	PEAC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	1	0.5	010			
11750	PEAC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
11750	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010			
11750	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11750	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		010			
11752	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		010			
11752	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	010			
11752	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
11752	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
11752	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
11752	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010			
11752	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
11752	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
11752	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
11752	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	4		010			
11752	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
11752	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010			
11752	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		010			
11752	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
11752	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
11752	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
11752	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11752	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		010			
11752	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1	1	010			
11752	PEAC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.516	1	1	010			
11752	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1	1	010			
11752	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
11752	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		010	0		
11752	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		010			
11752	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010			
11752	PEAC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	1	0.5	010			
11752	PEAC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
11752	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010			
11752	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11752	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		010			
11755	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Aug03	5
11755	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		000		Aug03	5
11755	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		000		Aug03	5
11755	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		000		Aug03	5
11755	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Aug03	5
11755	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Aug03	5
11755	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Aug03	5
11755	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000		Aug03	5
11755	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		000		Aug03	5
11755	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Aug03	5
11755	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Aug03	5
11755	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Aug03	5
11755	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Aug03	5
11755	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		Aug03	5
11755	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		000		Aug03	5
11755	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		000		Aug03	5
11755	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		Aug03	5
11760	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
11760	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
11760	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
11760	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Aug03	5
11760	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
11760	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
11760	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
11760	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
11760	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
11760	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
11760	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Aug03	5
11760	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		010		Aug03	5
11760	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		010		Aug03	5
11760	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Aug03	5
11760	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Aug03	5
11760	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
11760	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		010		Aug03	5
11760	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
11760	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
11760	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
11760	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
11762	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
11762	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
11762	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
11762	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Aug03	5
11762	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
11762	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
11762	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Aug03	5
11762	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
11762	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
11762	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
11762	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
11762	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Aug03	5
11762	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		010		Aug03	5
11762	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		010		Aug03	5
11762	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Aug03	5
11762	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Aug03	5
11762	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
11762	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		010		Aug03	5
11762	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
11762	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
11762	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
11762	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
11765	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
11765	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
11765	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
11765	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Aug03	5
11765	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
11765	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
11765	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Aug03	5
11765	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
11765	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
11765	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
11765	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
11765	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Aug03	5
11765	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		010		Aug03	5
11765	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		010		Aug03	5
11765	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Aug03	5
11765	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Aug03	5
11765	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
11765	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		010		Aug03	5
11765	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
11765	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
11765	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
11765	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
11770	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
11770	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
11770	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
11770	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
11770	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
11770	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
11770	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010			
11770	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
11770	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
11770	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
11770	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010			
11770	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010			
11770	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
11770	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
11770	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
11770	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
11770	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
11770	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
11770	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
11770	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
11770	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
11770	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
11770	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010			
11770	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
11770	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
11770	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		010			
11770	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
11770	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
11770	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
11770	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
11771	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
11771	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090			
11771	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
11771	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	4		090			
11771	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
11771	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
11771	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
11771	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
11771	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
11771	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
11771	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
11771	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
11771	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
11771	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
11771	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
11771	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090			
11771	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
11771	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12		090			
11771	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090			
11771	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090			
11771	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	25		090			
11771	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		090			
11772	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	4	090		Mar03	7
11772	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	7
11772	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
11772	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	3	2	090		Mar03	7
11772	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	7
11772	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Mar03	7
11772	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		Mar03	7
11772	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	090		Mar03	7
11772	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
11772	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
11772	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
11772	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3	2	090		Mar03	7
11772	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	3	2	090		Mar03	7
11772	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
11772	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar03	7
11772	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	7
11772	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
11772	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
11772	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Mar03	7
11772	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	7
11772	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	7
11772	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	3	2	090		Mar03	7
11772	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	2	090		Mar03	7
11772	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	090		Mar03	7
11772	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Mar03	7
11772	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	3	2	090		Mar03	7
11772	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	3	2	090		Mar03	7
11772	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
11772	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Mar03	7
11772	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		090		Mar03	7
11772	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
11772	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
11772	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		Mar03	7
11900	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
11900	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
11900	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
11900	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
11900	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
11900	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
11900	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
11900	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
11900	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
11900	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000			
11900	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
11900	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
11900	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
11900	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
11901	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
11901	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
11901	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
11901	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
11901	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
11901	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
11901	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
11901	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
11901	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
11901	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000			
11901	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
11901	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		000			
11901	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
11901	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
11920	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	P
11920	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Mar04	P
11920	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Mar04	P
11920	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		000		Mar04	P
11920	PEAC	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	12	1		000		Mar04	P
11920	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000		Mar04	P
11920	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		Mar04	P
11920	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	3		000		Mar04	P
11920	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3		000		Mar04	P
11920	PEAC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	3		000		Mar04	P
11921	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	P
11921	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Mar04	P
11921	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Mar04	P
11921	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		000		Mar04	P
11921	PEAC	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	12	1		000		Mar04	P
11921	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000		Mar04	P
11921	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		Mar04	P
11921	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	3		000		Mar04	P
11921	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3		000		Mar04	P
11921	PEAC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	3		000		Mar04	P
11922	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		ZZZ		Mar04	P
11922	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		Mar04	P
11922	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ		Mar04	P
11922	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		Mar04	P
11922	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		Mar04	P
11950	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Sep04	
11950	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Sep04	
11950	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Sep04	
11950	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		Sep04	
11951	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Sep04	
11951	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Sep04	
11951	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Sep04	
11951	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Sep04	
11952	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Sep04	
11952	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Sep04	
11952	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Sep04	
11952	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Sep04	
11952	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Sep04	
11952	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		Sep04	
11952	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Sep04	
11954	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Sep04	
11954	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Sep04	
11954	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Sep04	
11954	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Sep04	
11954	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Sep04	
11954	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		Sep04	
11954	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		000		Sep04	
11960	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		8	090			
11960	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		8	090		Apr06	J
11960	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		8	090			
11960	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		8	090			
11960	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
11960	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		80	090			
11970	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
11970	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
11970	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		3	090			
11970	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		3	090			
11970	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			
11970	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
11971	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
11971	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
11971	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	090		Aug03	6
11971	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
11971	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
11971	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
11971	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
11971	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
11971	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
11971	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
11971	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
11971	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
11971	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
11971	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
11971	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
11971	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
11971	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	6
11971	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
11971	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
11971	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
11971	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
11976	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		Feb05	
11976	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Feb05	
11976	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
11976	PEAC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.179	1		000		Feb05	
11980	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	11980	March 2014	March 1
11980		"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000	11980	March 2014	March 1
11980		"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000	11980	March 2014	March 1
11980	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	11980	March 2014	March 1
11980	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000	11980	March 2014	March 1
11980	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000	11980	March 2014	March 1
11980		"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		000	11980	March 2014	March 1
11980		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000	11980	March 2014	March 1
11980	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000	11980	March 2014	March 1
11980	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000	11980	March 2014	March 1
11980	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000	11980	March 2014	March 1
11980	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000	11980	March 2014	March 1
11981	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	11975		
11981	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	11975		
11981	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	11975		
11981	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	11975		
11981	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	11975		
11981	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX	11975		
11981	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX	11975		
11981	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		XXX	11975		
11981	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX	11975		
11981	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		XXX	11975		
11981	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX	11975		
11981	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		XXX	11975		
11981	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	4		XXX	11975		
11981	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	11975		
11981	RUC	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.11	1		XXX	11975		
11982	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	11976		
11982	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	11976		
11982	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	11976		
11982	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	11976		
11982	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	11976		
11982	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX	11976		
11982	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX	11976		
11982	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		XXX	11976		
11982	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX	11976		
11982	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		XXX	11976		
11982	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX	11976		
11982	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		XXX	11976		
11982	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	4		XXX	11976		
11982	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	11976		
11982	RUC	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.11	1		XXX	11976		
11983	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	11977		
11983	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	11977		
11983	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	11977		
11983	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	11977		
11983	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	11977		
11983	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX	11977		
11983	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX	11977		
11983	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		XXX	11977		
11983	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX	11977		
11983	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		XXX	11977		
11983	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX	11977		
11983	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		XXX	11977		
11983	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	4		XXX	11977		
11983	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	11977		
11983	RUC	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.11	1		XXX	11977		
12001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12001	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12001	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12001	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12001	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12001	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12001	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
12001	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
12001	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
12001	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
12001	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
12001	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12001	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12001	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
12001	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
12001	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12002	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12002	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12002	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12002	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12002	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12002	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000			
12002	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
12002	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
12002	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
12002	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
12002	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12002	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12002	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
12002	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
12002	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12004	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12004	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12004	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12004	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12004	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12004	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12004	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		000			
12004	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12004	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
12004	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
12004	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
12004	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		000			
12004	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12004	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12004	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
12004	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
12004	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12005	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12005	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12005	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12005	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12005	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12005	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	6		000			
12005	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12005	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		000			
12005	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
12005	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000			
12005	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	48		000			
12005	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12005	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12005	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	40		000			
12005	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		000			
12005	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12006	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12006	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12006	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12006	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12006	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12006	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12006	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		000			
12006	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12006	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	3		000			
12006	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
12006	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000			
12006	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	54		000			
12006	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		000			
12006	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12006	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	40		000			
12006	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		000			
12006	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12007	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12007	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12007	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12007	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12007	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12007	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12007	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	10		000			
12007	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12007	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	3		000			
12007	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
12007	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000			
12007	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	66		000			
12007	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		000			
12007	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12007	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	40		000			
12007	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		000			
12007	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12011	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12011	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12011	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12011	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12011	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12011	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12011	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
12011	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12011	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
12011	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
12011	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
12011	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000			
12011	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
12011	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12011	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12011	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
12011	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
12011	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12013	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12013	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12013	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12013	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12013	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12013	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12013	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000			
12013	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12013	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
12013	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
12013	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
12013	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000			
12013	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
12013	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12013	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12013	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
12013	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
12013	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12014	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12014	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12014	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12014	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12014	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12014	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12014	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		000			
12014	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12014	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
12014	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
12014	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
12014	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000			
12014	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
12014	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12014	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12014	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
12014	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
12014	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12015	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12015	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12015	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12015	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12015	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12015	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		000			
12015	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12015	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		000			
12015	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
12015	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000			
12015	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000			
12015	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		000			
12015	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12015	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12015	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
12015	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
12015	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12016	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	MD Time
12016	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
12016	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
12016	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
12016	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
12016	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
12016	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	6		000			
12016	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
12016	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	3		000			
12016	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
12016	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000			
12016	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	48		000			
12016	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
12016	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
12016	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	40		000			
12016	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		000			
12016	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
12020	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
12020	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
12020	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
12020	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
12020	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
12020	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
12020	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
12020	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
12020	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
12020	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
12020	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
12020	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
12020	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
12020	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
12020	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
12020	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
12020	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
12020	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
12020	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
12020	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
12020	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
12021	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
12021	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
12021	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
12021	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
12021	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
12021	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
12021	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
12021	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
12031	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12031	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12031	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12031	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12031	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12031	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12031	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12031	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12031	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12031	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12031	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12031	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12031	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12031	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12031	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12031	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12031	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1	1	010		Sep04	
12031	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
12031	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
12031	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		Sep04	
12031	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
12031	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Sep04	
12031	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010		Sep04	
12031	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		Sep04	
12031	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12031	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12031	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12032	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
12032	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
12032	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
12032	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
12032	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
12032	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
12032	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
12032	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
12032	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010			
12032	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
12032	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
12032	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
12032	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
12032	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
12032	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
12032	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
12032	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
12032	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
12032	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
12032	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
12032	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
12032	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
12032	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010			
12032	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
12032	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
12032	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
12032	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
12034	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12034	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12034	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12034	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12034	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12034	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12034	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12034	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12034	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12034	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12034	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12034	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12034	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12034	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12034	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12034	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12034	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1	1	010		Sep04	
12034	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
12034	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
12034	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		Sep04	
12034	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
12034	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Sep04	
12034	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
12034	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		Sep04	
12034	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12034	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12034	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12035	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
12035	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
12035	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
12035	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
12035	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
12035	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
12035	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
12035	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
12035	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		010			
12035	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
12035	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
12035	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
12035	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
12035	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
12035	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
12035	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
12035	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
12035	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
12035	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
12035	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
12035	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
12035	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
12035	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
12035	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
12035	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
12035	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
12035	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
12036	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
12036	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
12036	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
12036	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
12036	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
12036	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
12036	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
12036	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
12036	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
12036	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
12036	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
12036	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
12036	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
12036	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
12036	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
12036	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
12036	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
12036	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
12036	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
12036	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
12037	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
12037	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
12037	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
12037	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
12037	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
12037	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
12037	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
12037	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
12037	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
12037	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
12037	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
12037	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
12037	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
12037	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
12037	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
12037	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
12037	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
12037	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
12037	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
12037	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
12041	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12041	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12041	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12041	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12041	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12041	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12041	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12041	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12041	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12041	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12041	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12041	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12041	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12041	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12041	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12041	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12041	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1	1	010		Sep04	
12041	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
12041	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
12041	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		Sep04	
12041	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
12041	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Sep04	
12041	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010		Sep04	
12041	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		Sep04	
12041	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12041	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12041	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12042	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12042	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12042	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12042	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12042	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12042	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12042	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12042	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12042	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12042	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12042	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12042	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12042	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12042	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12042	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12042	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12042	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1	1	010		Sep04	
12042	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
12042	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
12042	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		Sep04	
12042	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
12042	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Sep04	
12042	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010		Sep04	
12042	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		Sep04	
12042	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12042	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12042	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12044	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12044	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12044	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12044	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12044	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12044	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12044	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12044	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12044	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12044	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12044	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12044	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12044	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12044	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12044	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12044	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12044	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1	1	010		Sep04	
12044	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		010		Sep04	
12044	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Sep04	
12044	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		Sep04	
12044	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		Sep04	
12044	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Sep04	
12044	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
12044	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		Sep04	
12044	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12044	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12044	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12045	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
12045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	5 Year
12045	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
12045	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
12045	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
12045	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
12045	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
12045	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
12045	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
12045	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
12045	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
12045	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
12045	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
12045	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
12045	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
12045	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
12045	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
12045	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
12045	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
12045	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
12046	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	5 Year
12046	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
12046	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
12046	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2	2	010		CPT12	5 Year
12046	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
12046	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
12046	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
12046	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
12046	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		010			
12046	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	6	2	010		CPT12	5 Year
12046	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
12046	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
12046	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
12046	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
12046	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
12046	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
12046	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
12046	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
12046	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
12046	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010			
12046	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
12046	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
12046	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
12046	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
12046	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
12046	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
12046	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
12047	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	5 Year
12047	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
12047	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
12047	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2	2	010		CPT12	5 Year
12047	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
12047	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
12047	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
12047	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
12047	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		010			
12047	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	6	2	010		CPT12	5 Year
12047	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
12047	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
12047	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
12047	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
12047	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
12047	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
12047	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
12047	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
12047	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010			
12047	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010			
12047	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
12047	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
12047	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
12047	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
12047	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
12047	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
12047	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
12051	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12051	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12051	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12051	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12051	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12051	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12051	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12051	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12051	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12051	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12051	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12051	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12051	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12051	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12051	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12051	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12051	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
12051	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
12051	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
12051	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		Sep04	
12051	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
12051	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Sep04	
12051	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010		Sep04	
12051	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		Sep04	
12051	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12051	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12051	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12052	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12052	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT12	5 Year
12052	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12052	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12052	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12052	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12052	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12052	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12052	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12052	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12052	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12052	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12052	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12052	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12052	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12052	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12052	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
12052	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
12052	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
12052	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		Sep04	
12052	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
12052	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Sep04	
12052	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010		Sep04	
12052	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		Sep04	
12052	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12052	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12052	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12053	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12053	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12053	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12053	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12053	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12053	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12053	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12053	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12053	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12053	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12053	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12053	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12053	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12053	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12053	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12053	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12053	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
12053	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		010		Sep04	
12053	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Sep04	
12053	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		Sep04	
12053	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		Sep04	
12053	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Sep04	
12053	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
12053	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		Sep04	
12053	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12053	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12053	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12054	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12054	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
12054	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12054	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12054	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12054	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12054	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12054	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12054	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12054	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12054	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12054	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12054	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12054	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12054	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12054	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12054	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
12054	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		010		Sep04	
12054	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Sep04	
12054	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		Sep04	
12054	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		Sep04	
12054	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Sep04	
12054	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
12054	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		Sep04	
12054	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12054	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12054	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12055	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12055	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	5 Year
12055	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12055	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12055	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12055	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12055	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12055	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12055	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12055	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12055	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12055	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12055	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12055	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12055	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12055	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12055	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
12055	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	3		010		Sep04	
12055	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		010		Sep04	
12055	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010	Sep04	Sep04	
12055	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010	Sep04	Sep04	
12055	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010	Sep04	Sep04	
12055	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
12055	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		Sep04	
12055	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010		Sep04	
12055	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12055	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12056	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12056	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	5 Year
12056	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12056	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12056	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12056	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12056	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12056	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12056	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12056	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12056	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12056	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12056	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12056	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12056	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12056	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12056	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010	Sep04	Sep04	
12056	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	3		010	Sep04	Sep04	
12056	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		010		Sep04	
12056	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	3		010	Sep04	Sep04	
12056	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010	Sep04	Sep04	
12056	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010	Sep04	Sep04	
12056	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Sep04	
12056	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3		010		Sep04	
12056	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12056	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12056	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
12057	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
12057	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	5 Year
12057	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Sep04	
12057	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
12057	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
12057	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
12057	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Sep04	
12057	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
12057	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Sep04	
12057	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
12057	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
12057	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
12057	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
12057	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
12057	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		Sep04	
12057	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
12057	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010	Sep04	Sep04	
12057	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	4		010	Sep04	Sep04	
12057	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		010		Sep04	
12057	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	3		010	Sep04	Sep04	
12057	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010	Sep04	Sep04	
12057	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010	Sep04	Sep04	
12057	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Sep04	
12057	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3		010		Sep04	
12057	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Sep04	
12057	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
12057	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Sep04	
13100	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13100	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT13	May 41
13100	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		CPT13	May 41
13100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13100	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		010		CPT13	May 41
13100	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		010		CPT13	May 41
13100	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13100	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13100	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT13	May 41
13100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13100	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		CPT13	May 41
13100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		CPT13	May 41
13100	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13100	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		CPT13	May 41
13100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT13	May 41
13100	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010		CPT13	May 41
13100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		CPT13	May 41
13100	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		010		CPT13	May 41
13100	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		010		CPT13	May 41
13100	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		CPT13	May 41
13100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		CPT13	May 41
13100	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		CPT13	May 41
13100	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13100	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13101	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13101	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13101	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2	2	010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1	1	010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	2	010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1	1	010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1	1	010		CPT13	May 41
13101	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2	2	010		CPT13	May 41
13101	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13101	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	3		010		CPT13	May 41
13101	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		010		CPT13	May 41
13101	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13101	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13101	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT13	May 41
13101	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13101	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		010		CPT13	May 41
13101	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		CPT13	May 41
13101	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13101	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		CPT13	May 41
13101	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		CPT13	May 41
13101	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		010		CPT13	May 41
13101	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		CPT13	May 41
13101	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		CPT13	May 41
13101	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	12		010		CPT13	May 41
13101	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		CPT13	May 41
13101	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010		CPT13	May 41
13101	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1	1	010		CPT13	May 41
13101	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13101	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13102	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		ZZZ		CPT13	May 41
13102	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		ZZZ		CPT13	May 41
13102	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		ZZZ		CPT13	May 41
13102	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ		CPT13	May 41
13102	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		ZZZ		CPT13	May 41
13102	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		ZZZ		CPT13	May 41
13102	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT13	May 41
13102	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ		CPT13	May 41
13102	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		ZZZ		CPT13	May 41
13102	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		ZZZ		CPT13	May 41
13102	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		ZZZ		CPT13	May 41
13102	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		CPT13	May 41
13102	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		ZZZ		CPT13	May 41
13120	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2	2	010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1	1	010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	2	010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1	1	010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1	1	010		CPT13	May 41
13120	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2	2	010		CPT13	May 41
13120	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13120	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		010		CPT13	May 41
13120	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		010		CPT13	May 41
13120	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13120	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13120	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT13	May 41
13120	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13120	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		CPT13	May 41
13120	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		CPT13	May 41
13120	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13120	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		CPT13	May 41
13120	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT13	May 41
13120	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010		CPT13	May 41
13120	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		CPT13	May 41
13120	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		010		CPT13	May 41
13120	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		010		CPT13	May 41
13120	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		CPT13	May 41
13120	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		CPT13	May 41
13120	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1	1	010		CPT13	May 41
13120	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13120	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13121	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13121	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13121	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT13	May 41
13121	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		CPT13	May 41
13121	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13121	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	3		010		CPT13	May 41
13121	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		010		CPT13	May 41
13121	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13121	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13121	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT13	May 41
13121	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13121	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		010		CPT13	May 41
13121	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		CPT13	May 41
13121	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13121	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		CPT13	May 41
13121	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		CPT13	May 41
13121	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		010		CPT13	May 41
13121	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		CPT13	May 41
13121	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		CPT13	May 41
13121	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	12		010		CPT13	May 41
13121	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		CPT13	May 41
13121	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010		CPT13	May 41
13121	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		CPT13	May 41
13121	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13121	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13122	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		ZZZ		CPT13	May 41
13122	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		ZZZ		CPT13	May 41
13122	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		ZZZ		CPT13	May 41
13122	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ		CPT13	May 41
13122	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		ZZZ		CPT13	May 41
13122	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		ZZZ		CPT13	May 41
13122	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT13	May 41
13122	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ		CPT13	May 41
13122	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		ZZZ		CPT13	May 41
13122	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		ZZZ		CPT13	May 41
13122	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		ZZZ		CPT13	May 41
13122	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		CPT13	May 41
13122	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		ZZZ		CPT13	May 41
13131	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13131	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13131	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT13	May 41
13131	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		CPT13	May 41
13131	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13131	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		010		CPT13	May 41
13131	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		010		CPT13	May 41
13131	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13131	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13131	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT13	May 41
13131	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13131	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		CPT13	May 41
13131	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		CPT13	May 41
13131	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13131	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		CPT13	May 41
13131	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		CPT13	May 41
13131	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010		CPT13	May 41
13131	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		CPT13	May 41
13131	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		010		CPT13	May 41
13131	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		010		CPT13	May 41
13131	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		CPT13	May 41
13131	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		CPT13	May 41
13131	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		CPT13	May 41
13131	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13131	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13132	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13132	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13132	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT13	May 41
13132	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		CPT13	May 41
13132	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13132	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	3		010		CPT13	May 41
13132	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		010		CPT13	May 41
13132	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13132	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13132	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT13	May 41
13132	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13132	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		010		CPT13	May 41
13132	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		CPT13	May 41
13132	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13132	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		CPT13	May 41
13132	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		CPT13	May 41
13132	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		010		CPT13	May 41
13132	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		CPT13	May 41
13132	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		CPT13	May 41
13132	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	12		010		CPT13	May 41
13132	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		CPT13	May 41
13132	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010		CPT13	May 41
13132	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		CPT13	May 41
13132	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13132	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13133	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		ZZZ		CPT13	May 41
13133	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		ZZZ		CPT13	May 41
13133	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		ZZZ		CPT13	May 41
13133	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ		CPT13	May 41
13133	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		ZZZ		CPT13	May 41
13133	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		ZZZ		CPT13	May 41
13133	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT13	May 41
13133	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		ZZZ		CPT13	May 41
13133	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		ZZZ		CPT13	May 41
13133	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		ZZZ		CPT13	May 41
13133	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		CPT13	May 41
13133	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		ZZZ		CPT13	May 41
13151	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13151	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13151	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT13	May 41
13151	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		CPT13	May 41
13151	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13151	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		010		CPT13	May 41
13151	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		010		CPT13	May 41
13151	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13151	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13151	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT13	May 41
13151	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13151	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		CPT13	May 41
13151	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		CPT13	May 41
13151	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13151	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		CPT13	May 41
13151	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT13	May 41
13151	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010		CPT13	May 41
13151	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		CPT13	May 41
13151	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		010		CPT13	May 41
13151	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		010		CPT13	May 41
13151	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		CPT13	May 41
13151	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		CPT13	May 41
13151	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		CPT13	May 41
13151	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13151	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13152	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT13	May 41
13152	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT13	May 41
13152	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT13	May 41
13152	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		CPT13	May 41
13152	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	3		010		CPT13	May 41
13152	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		010		CPT13	May 41
13152	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010		CPT13	May 41
13152	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT13	May 41
13152	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT13	May 41
13152	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		010		CPT13	May 41
13152	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		CPT13	May 41
13152	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		010		CPT13	May 41
13152	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		CPT13	May 41
13152	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010		CPT13	May 41
13152	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		010		CPT13	May 41
13152	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		CPT13	May 41
13152	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		CPT13	May 41
13152	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	12		010		CPT13	May 41
13152	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010		CPT13	May 41
13152	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010		CPT13	May 41
13152	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		CPT13	May 41
13152	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		010		CPT13	May 41
13152	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		CPT13	May 41
13153	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT13	May 41
13153	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT14	Final
13153	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		ZZZ		CPT13	May 41
13153	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		ZZZ		CPT13	May 41
13153	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ		CPT13	May 41
13153	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		ZZZ		CPT13	May 41
13153	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		ZZZ		CPT13	May 41
13153	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT13	May 41
13153	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		ZZZ		CPT13	May 41
13153	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		ZZZ		CPT13	May 41
13153	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		ZZZ		CPT13	May 41
13153	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		CPT13	May 41
13153	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		ZZZ		CPT13	May 41
13160	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
13160	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
13160	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
13160	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
13160	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
13160	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
14000	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
14000	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	6
14000	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
14000	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
14000	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
14000	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	6
14000	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Aug03	6
14000	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
14000	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
14000	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
14000	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
14000	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
14000	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
14000	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
14000	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
14000	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
14000	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		090		Aug03	6
14000	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		Aug03	6
14000	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Aug03	6
14000	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
14000	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Aug03	6
14000	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	6
14000	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
14000	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	090		Aug03	6
14000	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		Aug03	6
14000	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
14000	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
14000	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
14001	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
14001	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
14001	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
14001	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
14001	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
14001	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	6
14001	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Aug03	6
14001	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
14001	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
14001	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
14001	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
14001	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
14001	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
14001	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
14001	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
14001	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
14001	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		090		Aug03	6
14001	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		Aug03	6
14001	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Aug03	6
14001	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
14001	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Aug03	6
14001	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	6
14001	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
14001	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	090		Aug03	6
14001	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		Aug03	6
14001	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
14001	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
14001	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
14020	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
14020	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
14020	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
14020	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
14020	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
14020	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	6
14020	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Aug03	6
14020	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
14020	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
14020	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
14020	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
14020	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
14020	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
14020	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
14020	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
14020	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
14020	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		090		Aug03	6
14020	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		Aug03	6
14020	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Aug03	6
14020	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
14020	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Aug03	6
14020	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	6
14020	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
14020	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	090		Aug03	6
14020	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		Aug03	6
14020	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
14020	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
14020	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
14021	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
14021	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
14021	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
14021	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
14021	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
14021	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	6
14021	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Aug03	6
14021	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
14021	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
14021	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
14021	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
14021	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
14021	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
14021	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
14021	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
14021	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
14021	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		090		Aug03	6
14021	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		Aug03	6
14021	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Aug03	6
14021	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
14021	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Aug03	6
14021	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	6
14021	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
14021	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	090		Aug03	6
14021	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		Aug03	6
14021	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
14021	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090		Aug03	6
14021	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
14021	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
14040	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
14040	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	4	090		Aug03	6
14040	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
14040	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
14040	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
14040	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
14040	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Aug03	6
14040	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
14040	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
14040	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
14040	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
14040	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
14040	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
14040	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
14040	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
14040	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		Aug03	6
14040	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Aug03	6
14040	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
14040	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090		Aug03	6
14040	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		Aug03	6
14040	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
14040	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
14040	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		Aug03	6
14040	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
14040	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090		Aug03	6
14040	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
14041	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
14041	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090			
14041	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
14041	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
14041	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
14041	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
14041	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
14041	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
14041	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	6		090			
14041	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
14041	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
14041	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090			
14041	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090			
14041	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090			
14041	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
14041	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
14041	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090			
14041	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	090			
14041	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
14041	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090			
14041	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090			
14041	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	40		090			
14041	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		090			
14041	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
14060	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
14060	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
14060	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
14060	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
14060	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
14060	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	6
14060	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Aug03	6
14060	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
14060	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
14060	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
14060	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
14060	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
14060	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
14060	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
14060	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
14060	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		Aug03	6
14060	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Aug03	6
14060	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
14060	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	090		Aug03	6
14060	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		Aug03	6
14060	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
14060	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	090		Aug03	6
14060	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		Aug03	6
14060	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
14060	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090		Aug03	6
14060	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
14061	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
14061	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090			
14061	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
14061	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
14061	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
14061	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
14061	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
14061	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
14061	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	6		090			
14061	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
14061	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
14061	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090			
14061	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090			
14061	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090			
14061	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
14061	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
14061	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		090			
14061	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	1	090			
14061	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
14061	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090			
14061	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090			
14061	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	40		090			
14061	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		090			
14061	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
14301	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		CPT10	26
14301	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	26
14301	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT10	26
14301	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	26
14301	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		CPT10	26
14301	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	26
14301	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	26
14301	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	26
14301	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	26
14301	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	26
14301	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	26
14301	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	5		090		CPT10	26
14301	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	5		090		CPT10	26
14301	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	5		090		CPT10	26
14301	RUC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	1		090		CPT10	26
14301	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	26
14301	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	26
14301	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	26
14301	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	3		090		CPT10	26
14301	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		CPT10	26
14301	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		090		CPT10	26
14301	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273	1		090		CPT10	26
14301	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		CPT10	26
14301	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090		CPT10	26
14301	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		CPT10	26
14301	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090		CPT10	26
14301	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	26
14301	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090		CPT10	26
14301	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		090		CPT10	26
14301	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	26
14301	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT10	26
14301	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	26
14301	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	26
14301	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	26
14350	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
14350	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
14350	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		5	090			
14350	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
14350	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
15002	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT07	
15002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT07	
15002	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		CPT07	
15002	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT07	
15002	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT07	
15002	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT07	
15002	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT07	
15002	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT07	
15002	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		CPT07	
15002	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		000		CPT07	
15002	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000		CPT07	
15002	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT07	
15002	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT07	
15002	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		000		CPT07	
15002	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT07	
15002	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT07	
15002	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT07	
15002	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		CPT07	
15002	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT07	
15002	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT07	
15002	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT07	
15003	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		ZZZ		CPT07	
15003	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		ZZZ		CPT07	
15003	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		ZZZ		CPT07	
15003	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT07	
15003	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		ZZZ		CPT07	
15003	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ		CPT07	
15003	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ		CPT07	
15004	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT07	
15004	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT07	
15004	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		CPT07	
15004	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT07	
15004	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT07	
15004	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT07	
15004	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT07	
15004	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT07	
15004	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		CPT07	
15004	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		000		CPT07	
15004	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000		CPT07	
15004	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT07	
15004	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT07	
15004	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		000		CPT07	
15004	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT07	
15004	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT07	
15004	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT07	
15004	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		CPT07	
15004	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT07	
15004	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT07	
15004	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT07	
15005	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		ZZZ		CPT07	
15005	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		ZZZ		CPT07	
15005	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		ZZZ		CPT07	
15005	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT07	
15005	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		ZZZ		CPT07	
15005	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ		CPT07	
15005	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ		CPT07	
15040	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		RUC05	
15040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
15040	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		RUC05	
15040	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		000		RUC05	
15040	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		000		RUC05	
15040	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
15040	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		RUC05	
15040	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		RUC05	
15040	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		000		RUC05	
15040	RUC	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	17.4	1		000		RUC05	
15040	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		000		RUC05	
15040	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		RUC05	
15040	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	6		000		RUC05	
15040	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		RUC05	
15040	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		000		RUC05	
15040	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2		000		RUC05	
15040	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2		000		RUC05	
15040	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		000		RUC05	
15040	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		000		RUC05	
15040	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		000		RUC05	
15040	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		RUC05	
15040	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		RUC05	
15040	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		RUC05	
15040	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		RUC05	
15050	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15050	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
15050	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15050	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15050	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15050	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15050	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15050	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15050	PEAC	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	9.8869	1		090		Aug03	6
15050	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15050	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	5	4	090		Aug03	6
15050	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	5		090		Aug03	6
15050	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15050	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15050	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15100	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
15100	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090			
15100	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
15100	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090			
15100	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090			
15100	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15100	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
15100	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
15100	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		090			
15100	PEAC	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	17.4	1		090			
15100	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
15100	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
15100	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	6		090			
15100	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
15100	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090			
15100	PEAC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2	1	090			
15100	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2	2	090			
15100	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	090			
15100	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
15100	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090			
15100	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090			
15100	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
15100	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
15100	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
15101	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	ZZZ			
15101	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		ZZZ			
15101	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		ZZZ			
15101	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		ZZZ			
15101	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	4		ZZZ			
15101	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		ZZZ			
15101	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	4	2	ZZZ			
15101	PEAC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2		ZZZ			
15101	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	3	3	ZZZ			
15101	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		ZZZ			
15101	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ			
15101	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	ZZZ			
15101	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		ZZZ			
15101	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		ZZZ			
15101	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ			
15110	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		RUC05	
15110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		RUC05	
15110	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		RUC05	
15110	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		RUC05	
15110	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090		RUC05	
15110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		RUC05	
15110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		RUC05	
15110	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		RUC05	
15110	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		090		RUC05	
15110	RUC	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	17.4	1		090		RUC05	
15110	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		RUC05	
15110	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		RUC05	
15110	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	6		090		RUC05	
15110	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		RUC05	
15110	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090		RUC05	
15110	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2	1	090		RUC05	
15110	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2	2	090		RUC05	
15110	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	090		RUC05	
15110	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		RUC05	
15110	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090		RUC05	
15110	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090		RUC05	
15110	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		RUC05	
15110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		RUC05	
15110	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		RUC05	
15115	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		RUC05	
15115	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		RUC05	
15115	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		RUC05	
15115	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		RUC05	
15115	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090		RUC05	
15115	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		RUC05	
15115	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		RUC05	
15115	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		RUC05	
15115	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		090			
15115	RUC	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	17.4	1		090		RUC05	
15115	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		RUC05	
15115	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		RUC05	
15115	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	6		090		RUC05	
15115	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		RUC05	
15115	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090		RUC05	
15115	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2	1	090		RUC05	
15115	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2	2	090		RUC05	
15115	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	090		RUC05	
15115	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		RUC05	
15115	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090		RUC05	
15115	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090		RUC05	
15115	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		RUC05	
15115	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		RUC05	
15115	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		RUC05	
15120	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
15120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		CPT12	5 Year
15120	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
15120	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090			
15120	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090			
15120	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15120	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
15120	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
15120	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		090			
15120	PEAC	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	17.4	1		090			
15120	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
15120	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
15120	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	6		090			
15120	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
15120	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	2	090			
15120	PEAC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2		090			
15120	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT12	5 Year
15120	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3	3	090		CPT12	5 Year
15120	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
15120	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090			
15120	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090			
15120	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
15120	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
15120	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
15121	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	ZZZ			
15121	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		ZZZ			
15121	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		ZZZ			
15121	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		ZZZ			
15121	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	4		ZZZ			
15121	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		ZZZ			
15121	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	4	2	ZZZ			
15121	PEAC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2		ZZZ			
15121	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	3	3	ZZZ			
15121	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	ZZZ			
15121	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		ZZZ			
15121	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ			
15121	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	ZZZ			
15121	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		ZZZ			
15121	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		ZZZ			
15121	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ			
15130	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		RUC05	
15130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		RUC05	
15130	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		RUC05	
15130	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		RUC05	
15130	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090		RUC05	
15130	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		RUC05	
15130	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		RUC05	
15130	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		RUC05	
15130	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		090		RUC05	
15130	RUC	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	17.4	1		090		RUC05	
15130	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		RUC05	
15130	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		RUC05	
15130	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	6		090		RUC05	
15130	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		RUC05	
15130	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090		RUC05	
15130	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2	1	090		RUC05	
15130	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2	2	090		RUC05	
15130	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	090		RUC05	
15130	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		RUC05	
15130	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090		RUC05	
15130	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090		RUC05	
15130	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		RUC05	
15130	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		RUC05	
15130	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		RUC05	
15135	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		RUC05	
15135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		RUC05	
15135	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		RUC05	
15135	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		RUC05	
15135	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090		RUC05	
15135	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		RUC05	
15135	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		RUC05	
15135	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		RUC05	
15135	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	8		090		RUC05	
15135	RUC	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	17.4	1		090		RUC05	
15135	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		RUC05	
15135	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		RUC05	
15135	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	6		090		RUC05	
15135	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		RUC05	
15135	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090		RUC05	
15135	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2	1	090		RUC05	
15135	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2	2	090		RUC05	
15135	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	090		RUC05	
15135	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		RUC05	
15135	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	40		090		RUC05	
15135	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090		RUC05	
15135	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		RUC05	
15135	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		RUC05	
15135	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		RUC05	
15150	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		RUC05	
15150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		RUC05	
15150	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		RUC05	
15150	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		RUC05	
15150	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090		RUC05	
15150	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		RUC05	
15150	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		RUC05	
15150	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		RUC05	
15150	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		090		RUC05	
15150	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		RUC05	
15150	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		RUC05	
15150	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		RUC05	
15150	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		RUC05	
15150	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090		RUC05	
15150	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2	1	090		RUC05	
15150	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2	2	090		RUC05	
15150	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	090		RUC05	
15150	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		RUC05	
15150	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		RUC05	
15150	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090		RUC05	
15150	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		RUC05	
15150	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		RUC05	
15150	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		RUC05	
15151	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		RUC05	
15152	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		RUC05	
15155	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		RUC05	
15155	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		RUC05	
15155	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		RUC05	
15155	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090	RUC05	RUC05	
15155	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		090	RUC05	RUC05	
15155	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090	RUC05	RUC05	
15155	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090	RUC05	RUC05	
15155	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090	RUC05	RUC05	
15155	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		090	RUC05	RUC05	
15155	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		RUC05	
15155	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		RUC05	
15155	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		RUC05	
15155	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		RUC05	
15155	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090		RUC05	
15155	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2	1	090		RUC05	
15155	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2	2	090		RUC05	
15155	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4	4	090		RUC05	
15155	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		RUC05	
15155	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		RUC05	
15155	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	090		RUC05	
15155	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		RUC05	
15155	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		RUC05	
15155	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		RUC05	
15156	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		RUC05	
15157	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		RUC05	
15200	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	6
15200	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15200	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15200	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15200	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15200	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15200	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	4		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15200	PEAC	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	9.8869	1		090		Aug03	6
15200	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15200	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4.5	3.5	090		Aug03	6
15200	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	5		090		Aug03	6
15200	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15200	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15200	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15201	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		ZZZ		Mar04	P
15201	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		ZZZ		Mar04	P
15201	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ		Mar04	P
15201	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		ZZZ		Mar04	P
15201	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		ZZZ		Mar04	P
15201	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		ZZZ		Mar04	P
15201	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		ZZZ		Mar04	P
15201	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		Mar04	P
15201	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ		Mar04	P
15201	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		Mar04	P
15201	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		Mar04	P
15220	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15220	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	6
15220	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15220	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15220	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15220	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15220	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15220	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	4		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15220	PEAC	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	9.8869	1		090		Aug03	6
15220	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15220	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	5.5	4.5	090		Aug03	6
15220	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	5		090		Aug03	6
15220	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15220	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15220	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15221	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		ZZZ		Mar04	P
15221	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		ZZZ		Mar04	P
15221	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ		Mar04	P
15221	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		ZZZ		Mar04	P
15221	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		ZZZ		Mar04	P
15221	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		ZZZ		Mar04	P
15221	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		ZZZ		Mar04	P
15221	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		Mar04	P
15221	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ		Mar04	P
15221	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		Mar04	P
15221	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		Mar04	P
15240	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15240	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
15240	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15240	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15240	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15240	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15240	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15240	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15240	PEAC	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	9.8869	1		090		Aug03	6
15240	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15240	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	7	6	090		Aug03	6
15240	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	5		090		Aug03	6
15240	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15240	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15240	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15241	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		ZZZ		Mar04	P
15241	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		ZZZ		Mar04	P
15241	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ		Mar04	P
15241	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		ZZZ		Mar04	P
15241	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		ZZZ		Mar04	P
15241	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		ZZZ		Mar04	P
15241	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		ZZZ		Mar04	P
15241	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		Mar04	P
15241	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ		Mar04	P
15241	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		Mar04	P
15241	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		ZZZ		Mar04	P
15260	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15260	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
15260	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15260	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15260	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15260	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15260	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15260	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15260	PEAC	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	9.8869	1		090		Aug03	6
15260	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15260	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	6	5	090		Aug03	6
15260	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	5		090		Aug03	6
15260	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15260	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15260	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15261	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	ZZZ			
15261	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		ZZZ			
15261	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		ZZZ			
15261	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		ZZZ			
15261	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		ZZZ			
15261	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		ZZZ			
15261	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		ZZZ			
15261	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ			
15261	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	2	ZZZ			
15261	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		ZZZ			
15261	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		ZZZ			
15261	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1	1	ZZZ			
15261	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		ZZZ			
15261	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		ZZZ			
15261	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		ZZZ			
15271	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT12	May 1
15271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT12	May 1
15271	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 1
15271	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT12	May 1
15271	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		000		CPT12	May 1
15271	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		000		CPT12	May 1
15271	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000		CPT12	May 1
15271	RUC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	72		000		CPT12	May 1
15271	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT12	May 1
15271	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	10		000		CPT12	May 1
15271	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT12	May 1
15271	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		CPT12	May 1
15271	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		000		CPT12	May 1
15272	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		ZZZ		CPT12	May 1
15272	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		CPT12	May 1
15273	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT12	May 1
15273	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 1
15273	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1		000		CPT12	May 1
15273	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		CPT12	May 1
15273	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT12	May 1
15273	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT12	May 1
15273	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	May 1
15273	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT12	May 1
15273	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT12	May 1
15273	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT12	May 1
15273	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		000		CPT12	May 1
15273	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT12	May 1
15273	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		000		CPT12	May 1
15273	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		000		CPT12	May 1
15273	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000		CPT12	May 1
15273	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT12	May 1
15273	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		CPT12	May 1
15273	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	5		000		CPT12	May 1
15273	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT12	May 1
15273	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT12	May 1
15273	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT12	May 1
15274	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		ZZZ		CPT12	May 1
15274	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		ZZZ		CPT12	May 1
15274	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		CPT12	May 1
15274	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		CPT12	May 1
15275	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT12	May 1
15275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT12	May 1
15275	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 1
15275	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT12	May 1
15275	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		000		CPT12	May 1
15275	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		000		CPT12	May 1
15275	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000		CPT12	May 1
15275	RUC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	72		000		CPT12	May 1
15275	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT12	May 1
15275	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	10		000		CPT12	May 1
15275	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT12	May 1
15275	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		CPT12	May 1
15275	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		000		CPT12	May 1
15276	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		ZZZ		CPT12	May 1
15276	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		CPT12	May 1
15277	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT12	May 1
15277	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 1
15277	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1		000		CPT12	May 1
15277	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		CPT12	May 1
15277	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT12	May 1
15277	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT12	May 1
15277	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	May 1
15277	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT12	May 1
15277	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT12	May 1
15277	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT12	May 1
15277	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		000		CPT12	May 1
15277	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT12	May 1
15277	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		000		CPT12	May 1
15277	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		000		CPT12	May 1
15277	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000		CPT12	May 1
15277	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT12	May 1
15277	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		CPT12	May 1
15277	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	5		000		CPT12	May 1
15277	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT12	May 1
15277	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT12	May 1
15277	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT12	May 1
15278	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		ZZZ		CPT12	May 1
15278	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		ZZZ		CPT12	May 1
15278	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		ZZZ		CPT12	May 1
15278	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		CPT12	May 1
15570	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15570	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Oct08	ss
15570	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15570	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15570	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15570	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15570	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15570	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15570	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15570	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15570	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15570	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15570	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15570	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	3		090		Aug03	6
15570	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
15570	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15570	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4	3	090		Aug03	6
15570	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15570	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15570	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15570	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15572	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15572	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Oct08	ss
15572	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15572	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15572	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15572	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15572	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15572	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15572	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15572	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15572	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15572	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15572	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15572	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15572	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15572	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15572	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4	3	090		Aug03	6
15572	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15572	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15572	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15572	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15574	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15574	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Oct08	ss
15574	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15574	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15574	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15574	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15574	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15574	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15574	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15574	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15574	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15574	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15574	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15574	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15574	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15574	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15574	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	5	4	090		Aug03	6
15574	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15574	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15574	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15574	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15576	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15576	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Oct08	ss
15576	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15576	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15576	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15576	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15576	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15576	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15576	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15576	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15576	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15576	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15576	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15576	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15576	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15576	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15576	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4	3	090		Aug03	6
15576	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15576	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15576	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15576	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15600	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
15600	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15600	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15600	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15600	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15600	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15600	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15600	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15600	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15600	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15600	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15600	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15600	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15600	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15600	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15600	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	3	2	090		Aug03	6
15600	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15600	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15600	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15600	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15610	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15610	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
15610	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15610	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15610	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15610	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15610	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15610	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15610	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15610	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15610	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15610	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15610	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15610	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15610	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15610	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15610	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	3	2	090		Aug03	6
15610	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15610	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15610	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15610	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15620	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15620	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
15620	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15620	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15620	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15620	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15620	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15620	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15620	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15620	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15620	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15620	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15620	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15620	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15620	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15620	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15620	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	3.5	2.5	090		Aug03	6
15620	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15620	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15620	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15620	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15630	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15630	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
15630	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15630	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15630	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15630	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15630	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15630	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15630	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15630	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15630	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15630	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15630	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15630	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15630	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15630	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15630	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	3.5	2.5	090		Aug03	6
15630	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15630	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15630	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15630	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15650	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15650	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
15650	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15650	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15650	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15650	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15650	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15650	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15650	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15650	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15650	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15650	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15650	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15650	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15650	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15650	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15650	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	3.5	2.5	090		Aug03	6
15650	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15650	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15650	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15650	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15731	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT07	
15731	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		CPT07	
15731	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT07	
15731	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT07	
15731	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		CPT07	
15731	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT07	
15731	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		CPT07	
15731	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT07	
15731	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		090		CPT07	
15731	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		CPT07	
15731	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT07	
15731	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		CPT07	
15731	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT07	
15731	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090		CPT07	
15731	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		CPT07	
15731	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT07	
15731	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT07	
15731	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		CPT07	
15731	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090		CPT07	
15731	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		CPT07	
15731	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		CPT07	
15731	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090		CPT07	
15731	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		CPT07	
15731	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		CPT07	
15731	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090		CPT07	
15732	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
15732	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090			
15732	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
15732	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
15732	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
15732	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15732	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090			
15732	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
15732	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		090			
15732	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
15732	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
15732	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090			
15732	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
15732	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	4	090			
15732	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
15732	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	4	090			
15732	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	4	090			
15732	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090			
15732	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
15732	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090			
15732	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090			
15732	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
15732	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
15732	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090			
15732	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
15734	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
15734	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090			
15734	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
15734	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
15734	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
15734	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15734	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090			
15734	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
15734	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		090			
15734	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
15734	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
15734	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090			
15734	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
15734	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	4	090			
15734	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
15734	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	4	090			
15734	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	4	090			
15734	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090			
15734	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
15734	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090			
15734	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090			
15734	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
15734	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
15734	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090			
15734	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
15736	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
15736	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090			
15736	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
15736	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
15736	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
15736	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15736	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090			
15736	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
15736	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		090			
15736	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
15736	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
15736	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090			
15736	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
15736	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	4	090			
15736	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
15736	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	4	090			
15736	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	4	090			
15736	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090			
15736	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
15736	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090			
15736	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090			
15736	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
15736	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
15736	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090			
15736	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
15738	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090			
15738	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090			
15738	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090			
15738	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
15738	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
15738	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15738	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090			
15738	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
15738	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		090			
15738	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
15738	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
15738	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090			
15738	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
15738	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		090			
15738	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
15738	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	4	090			
15738	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	4	090			
15738	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090			
15738	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
15738	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090			
15738	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090			
15738	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
15738	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
15738	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090			
15738	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
15740	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15740	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	6
15740	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15740	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15740	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
15740	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	6
15740	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Aug03	6
15740	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15740	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15740	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15740	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15740	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15740	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15740	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15740	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15740	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15740	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15740	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090		Aug03	6
15740	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Aug03	6
15740	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4	3	090		Aug03	6
15740	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
15740	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	090		Aug03	6
15740	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	6
15740	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15740	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15740	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1	1	090		Aug03	6
15740	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090		Aug03	6
15740	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
15740	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		090		Aug03	6
15740	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
15740	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15750	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
15750	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
15750	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
15750	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		5	090			
15750	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
15750	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
15756	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090	15755		
15756	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15756	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		7	090	15755		
15756	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		7	090	15755		
15756	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090	15755		
15756	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		70	090	15755		
15757	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090	15755		
15757	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15757	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		7	090	15755		
15757	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		7	090	15755		
15757	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090	15755		
15757	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		70	090	15755		
15758	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090	15755		
15758	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15758	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		7	090	15755		
15758	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		7	090	15755		
15758	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090	15755		
15758	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		70	090	15755		
15760	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15760	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	6
15760	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15760	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15760	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15760	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15760	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15760	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15760	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15760	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15760	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15760	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15760	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15760	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15760	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15760	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15760	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4.5	3.5	090		Aug03	6
15760	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15760	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15760	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15760	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15770	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15770	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
15770	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
15770	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		5	090			
15770	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
15770	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
15775	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Feb05	
15775	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
15775	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Feb05	
15775	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Feb05	
15775	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		Feb05	
15775	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		Feb05	
15775	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Feb05	
15775	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Feb05	
15775	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000	Feb05	Feb05	
15775	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		Feb05	
15775	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Feb05	
15775	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		Feb05	
15775	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		Feb05	
15775	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000		Feb05	
15775	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		Feb05	
15775	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Feb05	
15775	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		000		Feb05	
15775	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		Feb05	
15775	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000	Feb05	Feb05	
15775	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000	Feb05	Feb05	
15775	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Feb05	
15775	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		Feb05	
15775	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		000		Feb05	
15775	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Feb05	
15775	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Feb05	
15775	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		Feb05	
15776	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Feb05	
15776	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
15776	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Feb05	
15776	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Feb05	
15776	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		Feb05	
15776	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		Feb05	
15776	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Feb05	
15776	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Feb05	
15776	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000	Feb05	Feb05	
15776	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		Feb05	
15776	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Feb05	
15776	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		Feb05	
15776	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		000		Feb05	
15776	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000		Feb05	
15776	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		Feb05	
15776	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000		Feb05	
15776	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	2		000		Feb05	
15776	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		000		Feb05	
15776	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000	Feb05	Feb05	
15776	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000	Feb05	Feb05	
15776	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Feb05	
15776	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		Feb05	
15776	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	3		000		Feb05	
15776	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Feb05	
15776	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Feb05	
15776	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		Feb05	
15780	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Mar04	P
15780	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Mar04	P
15780	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Mar04	P
15780	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	P
15780	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar04	P
15780	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Mar04	P
15780	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	6	3	090		Mar04	P
15780	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	4	2	090		Mar04	P
15780	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	16	8	090		Mar04	P
15780	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	16		090		Mar04	P
15780	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		090		Mar04	P
15780	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	60		090		Mar04	P
15780	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	P
15781	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Mar04	P
15781	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Mar04	P
15781	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Mar04	P
15781	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	P
15781	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar04	P
15781	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Mar04	P
15781	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	1	090		Mar04	P
15781	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	2	090		Mar04	P
15781	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	6	3	090		Mar04	P
15781	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	8		090		Mar04	P
15781	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090		Mar04	P
15781	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar04	P
15781	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	P
15782	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Mar04	P
15782	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Mar04	P
15782	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Mar04	P
15782	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	P
15782	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar04	P
15782	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Mar04	P
15782	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	1	090		Mar04	P
15782	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	2	090		Mar04	P
15782	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	24	12	090		Mar04	P
15782	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	8		090		Mar04	P
15782	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		090		Mar04	P
15782	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	60		090		Mar04	P
15782	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	P
15783	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Mar04	P
15783	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Mar04	P
15783	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Mar04	P
15783	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	P
15783	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar04	P
15783	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Mar04	P
15783	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1	1	090		Mar04	P
15783	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	2	090		Mar04	P
15783	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	6	3	090		Mar04	P
15783	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	8		090		Mar04	P
15783	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090		Mar04	P
15783	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar04	P
15783	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	P
15786	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010		Mar04	P
15786	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		Mar04	P
15786	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Mar04	P
15786	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	P
15786	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	P
15786	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010		Mar04	P
15786	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010		Mar04	P
15786	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	4		010		Mar04	P
15786	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	8		010		Mar04	P
15786	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010		Mar04	P
15786	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		010		Mar04	P
15786	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	P
15787	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		ZZZ		Mar04	P
15787	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		Mar04	P
15787	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	4		ZZZ		Mar04	P
15787	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		ZZZ		Mar04	P
15787	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ		Mar04	P
15787	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		Mar04	P
15788	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
15788	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15788	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
15788	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
15788	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
15788	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15788	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	4	2	090		Aug03	6
15788	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	16	8	090		Aug03	6
15788	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
15788	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15788	PEAC	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.2396	1		090		Aug03	6
15788	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	16		090		Aug03	6
15788	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		090		Aug03	6
15788	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	60		090		Aug03	6
15788	PEAC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6		090		Aug03	6
15788	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
15789	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	6
15789	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15789	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
15789	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
15789	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
15789	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15789	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	2	090		Aug03	6
15789	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	6	3	090		Aug03	6
15789	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
15789	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15789	PEAC	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.1354	1		090		Aug03	6
15789	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	8		090		Aug03	6
15789	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090		Aug03	6
15789	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Aug03	6
15789	PEAC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6		090		Aug03	6
15789	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
15792	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
15792	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15792	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
15792	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
15792	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
15792	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15792	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	2	090		Aug03	6
15792	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	24	12	090		Aug03	6
15792	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
15792	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15792	PEAC	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.2396	1		090		Aug03	6
15792	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	8		090		Aug03	6
15792	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		090		Aug03	6
15792	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	60		090		Aug03	6
15792	PEAC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6		090		Aug03	6
15792	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
15793	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	6
15793	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15793	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Aug03	6
15793	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
15793	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
15793	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15793	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	2	090		Aug03	6
15793	PEAC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	4.371	6	3	090		Aug03	6
15793	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
15793	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15793	PEAC	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.1354	1		090		Aug03	6
15793	PEAC	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5	8		090		Aug03	6
15793	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090		Aug03	6
15793	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Aug03	6
15793	PEAC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6		090		Aug03	6
15793	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
15819	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15819	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15819	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15819	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15819	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15819	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15820	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4.5	3.5	090	ok	Apr06	J
15820	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15820	PEAC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083	1		090			
15820	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	22	6	090			
15820	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3	1	090			
15820	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	090			
15820	PEAC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		090			
15820	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	30		090			
15820	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
15820	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	20	090			
15820	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30	20	090			
15821	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4.5	3.5	090	ok		
15821	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15821	PEAC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083	1		090			
15821	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	22	6	090			
15821	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3	1	090			
15821	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	090			
15821	PEAC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		090			
15821	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	30		090			
15821	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
15821	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	20	090			
15821	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30	20	090			
15822	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4.5	3.5	090	ok	Apr06	J
15822	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15822	PEAC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083	1		090			
15822	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	22	6	090			
15822	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3	1	090			
15822	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	090			
15822	PEAC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		090			
15822	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	30		090			
15822	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
15822	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	20	090			
15822	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30	20	090			
15823	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	5	4	090	ok	Apr06	J
15823	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
15823	PEAC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083	1		090			
15823	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	22	6	090			
15823	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3	1	090			
15823	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	090			
15823	PEAC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		090			
15823	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	30		090			
15823	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
15823	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	20	090			
15823	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30	20	090			
15830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT07	
15830	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT07	
15832	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15832	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15832	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15832	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15832	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15832	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15833	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15833	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15833	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15833	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15833	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15833	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15834	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15834	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15834	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15834	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15834	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15834	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15835	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
15835	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
15836	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15836	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15836	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15836	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15836	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15836	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15837	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15837	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	6
15837	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15837	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15837	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15837	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15837	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15837	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15837	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15837	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15837	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15837	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15837	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15837	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15837	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15837	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15837	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4.5	3.5	090		Aug03	6
15837	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15837	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15837	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15837	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15838	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15838	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15838	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15838	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15838	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15838	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15839	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
15839	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	6
15839	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
15839	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
15839	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
15839	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
15839	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
15839	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
15839	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
15839	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
15839	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
15839	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
15839	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
15839	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
15839	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
15839	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
15839	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4.5	3.5	090		Aug03	6
15839	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
15839	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
15839	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
15839	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
15840	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15840	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
15840	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15840	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15840	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15840	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15841	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15841	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15841	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15841	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15841	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15841	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15842	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
15842	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
15842	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		7	090			
15842	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		7	090			
15842	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090			
15842	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		70	090			
15845	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15845	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
15845	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		3	090			
15845	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		3	090			
15845	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			
15845	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
15850	CPEP	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		XXX			
15850	CPEP	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX			
15850	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		XXX			
15850	CPEP	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
15850	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
15850	CPEP	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX			
15850	CPEP	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
15850	CPEP	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX			
15850	CPEP	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		XXX			
15850	CPEP	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		XXX			
15850	CPEP	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		XXX			
15850	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX			
15850	CPEP	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		XXX			
15850	CPEP	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
15850	CPEP	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		XXX			
15850	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		XXX			
15850	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX			
15850	CPEP	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		XXX			
15850	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
15851	CPEP	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
15851	CPEP	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
15851	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
15851	CPEP	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
15851	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
15851	CPEP	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
15851	CPEP	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
15851	CPEP	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
15851	CPEP	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		000			
15851	CPEP	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
15851	CPEP	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
15851	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		000			
15851	CPEP	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		000			
15851	CPEP	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
15851	CPEP	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
15851	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000			
15851	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
15851	CPEP	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000			
15851	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
15920	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
15920	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
15920	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
15920	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		5	090			
15920	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
15920	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		5	090			
15920	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
15922	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15922	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
15922	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15922	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15922	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15922	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15931	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15931	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15931	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15931	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15931	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15931	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
15931	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15933	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		6	090			
15933	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15933	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15933	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15933	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15933	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		6	090			
15933	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15934	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15934	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
15934	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15934	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15934	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15934	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15935	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15935	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
15935	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15935	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15935	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15935	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15936	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15936	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15936	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15936	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15936	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15936	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15937	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15937	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
15937	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15937	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15937	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15937	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15940	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		3	090			
15940	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
15940	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		3	090			
15940	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		3	090			
15940	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			
15940	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
15940	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
15941	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		6	090			
15941	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15941	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15941	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15941	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15941	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		6	090			
15941	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15944	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15944	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15944	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15944	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15944	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15944	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15945	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15945	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15945	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15945	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15945	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15945	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15946	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15946	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15946	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15946	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15946	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15946	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15950	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15950	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
15950	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15950	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15950	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15950	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
15950	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15951	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		6	090			
15951	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15951	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15951	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15951	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15951	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		6	090			
15951	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15952	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
15952	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15952	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
15952	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
15952	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
15952	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
15953	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15953	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
15953	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15953	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15953	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15953	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15956	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15956	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
15956	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15956	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15956	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15956	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
15958	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
15958	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
15958	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
15958	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		6	090			
15958	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
15958	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
16000	CPEP	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
16000	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
16000	CPEP	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
16000	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
16000	CPEP	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
16000	CPEP	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
16000	CPEP	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
16000	CPEP	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		000			
16000	CPEP	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
16000	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		000			
16000	CPEP	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		000			
16000	CPEP	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
16000	CPEP	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000			
16000	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000			
16000	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
16000	CPEP	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000			
16000	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
16020	RUC	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	4.114	1		000		RUC05	
16020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
16020	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
16020	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		RUC05	
16020	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000		RUC05	
16020	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		000		RUC05	
16020	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		RUC05	
16020	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		RUC05	
16020	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		000		RUC05	
16020	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		RUC05	
16020	RUC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	1		000		RUC05	
16020	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000		RUC05	
16025	RUC	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	4.114	1		000		RUC05	
16025	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
16025	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
16025	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		RUC05	
16025	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000		RUC05	
16025	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		000		RUC05	
16025	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	4		000		RUC05	
16025	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000		RUC05	
16025	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		000		RUC05	
16025	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		RUC05	
16025	RUC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	1		000		RUC05	
16025	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		RUC05	
16025	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000		RUC05	
16030	RUC	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	4.114	1		000		RUC05	
16030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
16030	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
16030	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		RUC05	
16030	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		RUC05	
16030	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	4		000		RUC05	
16030	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	8		000		RUC05	
16030	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	8		000		RUC05	
16030	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	48		000		RUC05	
16030	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		RUC05	
16030	RUC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	1		000		RUC05	
16030	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	2		000		RUC05	
16030	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		RUC05	
17000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT14	May 30
17000	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010		CPT14	May 30
17000	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	8		010		CPT14	May 30
17000	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.6	1		010		CPT14	May 30
17000	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010		CPT14	May 30
17000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		CPT14	May 30
17003	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	8		ZZZ		CPT14	May 30
17003	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.6	1		010		CPT14	May 30
17003	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 30
17004	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT14	May 30
17004	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010		CPT14	May 30
17004	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	90		010		CPT14	May 30
17004	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.6	15		010		CPT14	May 30
17004	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010		CPT14	May 30
17004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	6		010		CPT14	May 30
17106	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Oct08	hi
17106	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
17106	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
17106	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
17106	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
17106	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
17106	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
17106	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
17106	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
17106	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
17106	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090			
17106	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090			
17106	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090			
17106	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
17106	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
17106	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
17107	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Oct08	hi
17107	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
17107	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
17107	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
17107	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
17107	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
17107	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
17107	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
17107	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
17107	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
17107	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
17107	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090			
17107	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090			
17107	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090			
17107	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
17107	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
17107	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
17108	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Oct08	hi
17108	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
17108	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
17108	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
17108	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
17108	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
17108	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		090			
17108	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090			
17108	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
17108	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		090			
17108	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090			
17108	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
17108	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
17108	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090			
17108	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		090			
17108	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		090			
17108	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090			
17108	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090			
17110	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17110	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17110	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17110	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17110	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17110	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17110	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
17110	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	27		010			
17110	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17110	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17110	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17110	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17110	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
17110	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
17110	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17110	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		010			
17110	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17110	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17110	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17110	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17111	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17111	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17111	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17111	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17111	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17111	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17111	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
17111	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	40		010			
17111	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17111	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17111	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17111	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17111	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
17111	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
17111	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17111	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		010			
17111	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17111	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17111	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17111	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17250	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
17250	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
17250	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
17250	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
17250	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
17250	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
17250	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	5		000			
17250	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		000			
17250	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		000			
17250	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
17250	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000			
17250	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
17250	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000			
17250	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		000			
17250	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
17250	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		000			
17250	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
17250	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
17250	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	5		000			
17250	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
17260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT12	5 Year
17260	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17260	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17260	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17260	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17260	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17260	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
17260	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		010			
17260	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17260	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17260	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17260	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17260	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
17260	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010			
17260	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010			
17260	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17260	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17260	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17260	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17261	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17261	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17261	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17261	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17261	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17261	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17261	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
17261	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		010			
17261	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17261	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17261	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17261	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17261	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17261	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
17261	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17261	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010			
17261	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17261	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17261	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17261	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17262	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17262	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17262	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17262	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17262	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17262	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17262	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
17262	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	27		010			
17262	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17262	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17262	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17262	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17262	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17262	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17262	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
17262	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17262	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		010			
17262	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17262	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17262	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17262	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17263	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17263	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17263	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17263	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17263	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17263	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17263	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
17263	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	27		010			
17263	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17263	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17263	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17263	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17263	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17263	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17263	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
17263	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17263	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		010			
17263	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17263	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17263	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17263	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17264	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17264	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17264	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17264	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17264	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17264	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17264	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
17264	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	40		010			
17264	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17264	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17264	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17264	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17264	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17264	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17264	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
17264	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17264	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		010			
17264	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17264	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17264	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17264	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17266	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17266	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17266	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17266	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17266	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17266	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17266	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	5		010			
17266	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	80		010			
17266	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17266	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17266	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17266	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17266	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17266	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		010			
17266	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
17266	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17266	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		010			
17266	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17266	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17266	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17266	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17270	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17270	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17270	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17270	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17270	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17270	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17270	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
17270	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		010			
17270	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17270	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17270	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17270	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17270	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17270	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
17270	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010			
17270	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010			
17270	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17270	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17270	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17270	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17271	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17271	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17271	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17271	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17271	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17271	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17271	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
17271	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		010			
17271	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17271	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17271	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17271	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17271	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17271	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
17271	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17271	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010			
17271	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17271	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17271	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17271	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17272	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17272	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17272	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17272	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17272	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17272	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17272	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
17272	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	27		010			
17272	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17272	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17272	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17272	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17272	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17272	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17272	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
17272	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17272	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		010			
17272	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17272	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17272	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17272	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17273	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17273	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17273	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17273	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17273	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17273	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17273	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
17273	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	27		010			
17273	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17273	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17273	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17273	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17273	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17273	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
17273	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
17273	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17273	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		010			
17273	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17273	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17273	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17273	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17274	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17274	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17274	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17274	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17274	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17274	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17274	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
17274	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	40		010			
17274	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17274	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17274	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17274	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17274	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17274	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
17274	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
17274	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17274	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		010			
17274	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17274	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17274	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17274	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17276	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17276	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17276	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17276	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17276	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17276	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17276	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	5		010			
17276	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	80		010			
17276	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17276	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17276	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17276	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17276	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17276	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		010			
17276	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
17276	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17276	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		010			
17276	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17276	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17276	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17276	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17280	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17280	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17280	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17280	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17280	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17280	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17280	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
17280	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		010			
17280	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17280	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17280	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17280	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17280	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17280	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
17280	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010			
17280	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010			
17280	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17280	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17280	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17280	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17281	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17281	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17281	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17281	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17281	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17281	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17281	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
17281	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		010			
17281	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17281	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17281	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17281	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17281	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17281	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
17281	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17281	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		010			
17281	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17281	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17281	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17281	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17282	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17282	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17282	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17282	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17282	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17282	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17282	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	2		010			
17282	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	27		010			
17282	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17282	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17282	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17282	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17282	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
17282	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
17282	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
17282	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17282	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		010			
17282	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17282	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17282	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17282	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17283	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17283	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17283	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17283	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17283	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17283	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17283	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	3		010			
17283	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	27		010			
17283	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17283	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17283	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17283	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17283	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17283	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
17283	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
17283	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17283	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	2		010			
17283	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17283	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17283	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17283	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17284	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17284	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17284	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17284	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17284	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17284	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17284	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	4		010			
17284	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	40		010			
17284	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17284	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17284	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17284	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17284	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17284	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
17284	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
17284	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17284	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		010			
17284	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17284	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17284	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17284	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17286	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010			
17286	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
17286	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
17286	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
17286	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
17286	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
17286	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	5		010			
17286	PEAC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	80		010			
17286	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
17286	PEAC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		010			
17286	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
17286	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		010			
17286	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
17286	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		010			
17286	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		010			
17286	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010			
17286	PEAC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	3		010			
17286	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
17286	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
17286	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
17286	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
17311	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT14	May 31
17311	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 31
17311	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 31
17311	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 31
17311	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT14	May 31
17311	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 31
17311	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		000		CPT14	May 31
17311	RUC	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.759	1		000		CPT14	May 31
17311	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		000		CPT14	May 31
17311	RUC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	1		000		CPT14	May 31
17311	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000		CPT14	May 31
17311	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 31
17311	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		000		CPT14	May 31
17311	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT14	May 31
17311	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	3		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344	1		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	30		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	2		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60		000		CPT14	May 31
17311	RUC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	8		000		CPT14	May 31
17311	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT14	May 31
17311	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	0.4		000		CPT14	May 31
17311	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		CPT14	May 31
17311	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT14	May 31
17311	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		000		CPT14	May 31
17311	RUC	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	1.75	1		000		CPT14	May 31
17311	RUC	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.005	1		000		CPT14	May 31
17311	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		000		CPT14	May 31
17311	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000		CPT14	May 31
17311	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT14	May 31
17311	RUC	Lab	SL030	"cover slip, glass"	item	0.079	10		000		CPT14	May 31
17311	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	1		000		CPT14	May 31
17311	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		000		CPT14	May 31
17311	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	8		000		CPT14	May 31
17311	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	6.652	1		000		CPT14	May 31
17311	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	10		000		CPT14	May 31
17311	RUC	Lab	SL470	Marking Dyes	ml	0.3889	12		000		CPT14	May 31
17311	RUC	Lab	SL473	"Slide, charged"	item	0.204	10		000		CPT14	May 31
17311	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000		CPT14	May 31
17312	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT14	May 31
17312	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT14	May 31
17312	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 31
17312	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 31
17312	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT14	May 31
17312	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 31
17312	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		000		CPT14	May 31
17312	RUC	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.759	1		000		CPT14	May 31
17312	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000		CPT14	May 31
17312	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 31
17312	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT14	May 31
17312	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	2		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344	1		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	20		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	2		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60		000		CPT14	May 31
17312	RUC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	8		000		CPT14	May 31
17312	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT14	May 31
17312	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	0.4		000		CPT14	May 31
17312	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		CPT14	May 31
17312	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT14	May 31
17312	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		000		CPT14	May 31
17312	RUC	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	1.75	1		000		CPT14	May 31
17312	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		000		CPT14	May 31
17312	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT14	May 31
17312	RUC	Lab	SL030	"cover slip, glass"	item	0.079	6		000		CPT14	May 31
17312	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.6		000		CPT14	May 31
17312	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		000		CPT14	May 31
17312	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	8		000		CPT14	May 31
17312	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	6		000		CPT14	May 31
17312	RUC	Lab	SL470	Marking Dyes	ml	0.3889	9		000		CPT14	May 31
17312	RUC	Lab	SL473	"Slide, charged"	item	0.204	6		000		CPT14	May 31
17312	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000		CPT14	May 31
17313	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT14	May 31
17313	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 31
17313	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 31
17313	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 31
17313	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT14	May 31
17313	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 31
17313	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		000		CPT14	May 31
17313	RUC	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.759	1		000		CPT14	May 31
17313	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		000		CPT14	May 31
17313	RUC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	1		000		CPT14	May 31
17313	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000		CPT14	May 31
17313	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 31
17313	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.373	1		000		CPT14	May 31
17313	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT14	May 31
17313	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	3		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344	1		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	30		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60		000		CPT14	May 31
17313	RUC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	8		000		CPT14	May 31
17313	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT14	May 31
17313	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	0.4		000		CPT14	May 31
17313	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		CPT14	May 31
17313	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT14	May 31
17313	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		000		CPT14	May 31
17313	RUC	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	1.75	1		000		CPT14	May 31
17313	RUC	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.005	1		000		CPT14	May 31
17313	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		000		CPT14	May 31
17313	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000		CPT14	May 31
17313	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT14	May 31
17313	RUC	Lab	SL030	"cover slip, glass"	item	0.079	10		000		CPT14	May 31
17313	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	1		000		CPT14	May 31
17313	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		000		CPT14	May 31
17313	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	8		000		CPT14	May 31
17313	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	6.652	1		000		CPT14	May 31
17313	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	10		000		CPT14	May 31
17313	RUC	Lab	SL470	Marking Dyes	ml	0.3889	12		000		CPT14	May 31
17313	RUC	Lab	SL473	"Slide, charged"	item	0.204	10		000		CPT14	May 31
17313	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000		CPT14	May 31
17314	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT14	May 31
17314	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT14	May 31
17314	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 31
17314	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 31
17314	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT14	May 31
17314	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 31
17314	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		000		CPT14	May 31
17314	RUC	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.759	1		000		CPT14	May 31
17314	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000		CPT14	May 31
17314	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 31
17314	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		CPT14	May 31
17314	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	2		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344	1		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	20		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60		000		CPT14	May 31
17314	RUC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	8		000		CPT14	May 31
17314	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT14	May 31
17314	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	0.4		000		CPT14	May 31
17314	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		CPT14	May 31
17314	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000		CPT14	May 31
17314	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		000		CPT14	May 31
17314	RUC	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	1.75	1		000		CPT14	May 31
17314	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		000		CPT14	May 31
17314	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT14	May 31
17314	RUC	Lab	SL030	"cover slip, glass"	item	0.079	6		000		CPT14	May 31
17314	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.6		000		CPT14	May 31
17314	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		000		CPT14	May 31
17314	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	8		000		CPT14	May 31
17314	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	6		000		CPT14	May 31
17314	RUC	Lab	SL470	Marking Dyes	ml	0.3889	9		000		CPT14	May 31
17314	RUC	Lab	SL473	"Slide, charged"	item	0.204	6		000		CPT14	May 31
17314	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000		CPT14	May 31
17315	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	20		000		CPT14	May 31
17315	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		000		CPT14	May 31
17315	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		000		CPT14	May 31
17315	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	1		000		CPT14	May 31
17315	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	2		000		CPT14	May 31
17315	RUC	Lab	SL470	Marking Dyes	ml	0.3889	3		000		CPT14	May 31
17315	RUC	Lab	SL473	"Slide, charged"	item	0.204	2		000		CPT14	May 31
17360	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		Feb05	
17360	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Feb05	
17360	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Feb05	
17360	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010		Feb05	
17360	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		Feb05	
17360	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		010		Feb05	
17360	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Feb05	
17360	PEAC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	0.954	1		010		Feb05	
17360	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
17360	PEAC	"Pharmacy, NonRx"	SJ072	"brush, disposable applicator"	item	0.276	1		010		Feb05	
17360	PEAC	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.05	1		010		Feb05	
17360	PEAC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		010		Feb05	
17360	PEAC	Lab	SL193	"glycolic acid, 20-50%"	ml	0.156	1		010		Feb05	
17360	PEAC	Lab	SL200	"sodium bicarbonate spray, 8 oz"	item	9.5	1		010		Feb05	
17360	PEAC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010		Feb05	
19000	PEAC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		000		Feb05	
19000	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
19000	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Feb05	
19000	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000		Feb05	
19000	PEAC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Feb05	
19000	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		Feb05	
19000	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Feb05	
19000	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Feb05	
19000	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000		Feb05	
19000	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		000		Feb05	
19000	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Feb05	
19000	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Feb05	
19000	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		Feb05	
19000	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000		Feb05	
19001	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		ZZZ		Mar04	R
19001	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		Mar04	R
19001	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		ZZZ		Mar04	R
19001	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		ZZZ		Mar04	R
19001	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		ZZZ		Mar04	R
19020	PEAC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		090		Mar03	7
19020	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	7
19020	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	7
19020	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
19020	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	090		Mar03	7
19020	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	7
19020	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Mar03	7
19020	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	5		090		Mar03	7
19020	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	090		Mar03	7
19020	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
19020	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
19020	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
19020	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Mar03	7
19020	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	2	1	090		Mar03	7
19020	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
19020	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar03	7
19020	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
19020	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
19020	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
19020	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	7
19020	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
19020	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
19020	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Mar03	7
19020	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	7
19020	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	7
19020	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		090		Mar03	7
19020	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	7
19020	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	7
19020	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Mar03	7
19020	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	2	1	090		Mar03	7
19020	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	2	1	090		Mar03	7
19020	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
19020	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Mar03	7
19020	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
19020	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
19020	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		Mar03	7
19030	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Mar04	R
19030	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar04	R
19030	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	R
19030	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Mar04	R
19030	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Mar04	R
19030	PEAC	"Hypodermic, IV"	SC047	sialography infusion unit	item	24	1		000		Mar04	R
19030	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000		Mar04	R
19030	PEAC	"Accessory, Procedure"	SD042	"dilator, ductal, galactography"	item	8	1		000		Mar04	R
19030	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		Mar04	R
19030	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Mar04	R
19030	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		000		Mar04	R
19030	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		Mar04	R
19081	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT14	May 2
19081	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		CPT14	May 2
19081	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 2
19081	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	May 2
19081	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 2
19081	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 2
19081	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		000		CPT14	May 2
19081	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT14	May 2
19081	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 2
19081	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	1		000		CPT14	May 2
19081	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		000		CPT14	May 2
19081	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		000		CPT14	May 2
19081	RUC	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16	1		000		CPT14	May 2
19081	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		000		CPT14	May 2
19081	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 2
19081	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 2
19081	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 2
19081	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 2
19081	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT14	May 2
19081	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		CPT14	May 2
19081	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 2
19081	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 2
19081	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		000		CPT14	May 2
19081	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		CPT14	May 2
19081	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT14	May 2
19081	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 2
19081	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT14	May 2
19081	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	1		000		CPT14	May 2
19081	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		000		CPT14	May 2
19081	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		000		CPT14	May 2
19081	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000		CPT14	May 2
19082	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		ZZZ		CPT14	May 2
19082	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		ZZZ		CPT14	May 2
19082	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 2
19082	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		ZZZ		CPT14	May 2
19082	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ		CPT14	May 2
19082	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	May 2
19082	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	1		ZZZ		CPT14	May 2
19082	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		ZZZ		CPT14	May 2
19082	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		ZZZ		CPT14	May 2
19082	RUC	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16	1		ZZZ		CPT14	May 2
19082	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		ZZZ		CPT14	May 2
19082	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT14	May 2
19082	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		ZZZ		CPT14	May 2
19082	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		ZZZ		CPT14	May 2
19082	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ		CPT14	May 2
19082	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		ZZZ		CPT14	May 2
19082	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		CPT14	May 2
19082	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		ZZZ		CPT14	May 2
19082	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		CPT14	May 2
19082	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		ZZZ		CPT14	May 2
19082	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		ZZZ		CPT14	May 2
19082	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		ZZZ		CPT14	May 2
19082	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 2
19082	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		ZZZ		CPT14	May 2
19082	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	1		ZZZ		CPT14	May 2
19082	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		ZZZ		CPT14	May 2
19082	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		ZZZ		CPT14	May 2
19082	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		ZZZ		CPT14	May 2
19083	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.089	1		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5		000		CPT14	May 2
19083	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000		CPT14	May 2
19083	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		000		CPT14	May 2
19083	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT14	May 2
19083	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 2
19083	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	1		000		CPT14	May 2
19083	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		000		CPT14	May 2
19083	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		000		CPT14	May 2
19083	RUC	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16	1		000		CPT14	May 2
19083	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		000		CPT14	May 2
19083	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 2
19083	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 2
19083	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 2
19083	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT14	May 2
19083	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		CPT14	May 2
19083	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 2
19083	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 2
19083	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		000		CPT14	May 2
19083	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		CPT14	May 2
19083	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		000		CPT14	May 2
19083	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT14	May 2
19083	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 2
19083	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	2		000		CPT14	May 2
19083	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT14	May 2
19083	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	1		000		CPT14	May 2
19083	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000		CPT14	May 2
19083	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		000		CPT14	May 2
19083	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000		CPT14	May 2
19084	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.089	1		ZZZ		CPT14	May 2
19084	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		ZZZ		CPT14	May 2
19084	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		ZZZ		CPT14	May 2
19084	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 2
19084	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5		ZZZ		CPT14	May 2
19084	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		ZZZ		CPT14	May 2
19084	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ		CPT14	May 2
19084	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	May 2
19084	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	1		ZZZ		CPT14	May 2
19084	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		ZZZ		CPT14	May 2
19084	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		ZZZ		CPT14	May 2
19084	RUC	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16	1		ZZZ		CPT14	May 2
19084	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		ZZZ		CPT14	May 2
19084	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT14	May 2
19084	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		ZZZ		CPT14	May 2
19084	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ		CPT14	May 2
19084	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 2
19084	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	2		ZZZ		CPT14	May 2
19084	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		ZZZ		CPT14	May 2
19084	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	1		ZZZ		CPT14	May 2
19084	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		ZZZ		CPT14	May 2
19084	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		ZZZ		CPT14	May 2
19085	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT14	May 2
19085	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		CPT14	May 2
19085	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 2
19085	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	May 2
19085	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 2
19085	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 2
19085	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		000		CPT14	May 2
19085	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT14	May 2
19085	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 2
19085	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	1		000		CPT14	May 2
19085	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		000		CPT14	May 2
19085	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		000		CPT14	May 2
19085	RUC	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16	1		000		CPT14	May 2
19085	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		000		CPT14	May 2
19085	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 2
19085	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 2
19085	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 2
19085	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT14	May 2
19085	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		CPT14	May 2
19085	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 2
19085	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 2
19085	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		CPT14	May 2
19085	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT14	May 2
19085	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 2
19085	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT14	May 2
19085	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	1		000		CPT14	May 2
19085	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		000		CPT14	May 2
19086	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		ZZZ		CPT14	May 2
19086	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		ZZZ		CPT14	May 2
19086	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 2
19086	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		ZZZ		CPT14	May 2
19086	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ		CPT14	May 2
19086	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	May 2
19086	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	1		ZZZ		CPT14	May 2
19086	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		ZZZ		CPT14	May 2
19086	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		ZZZ		CPT14	May 2
19086	RUC	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16	1		ZZZ		CPT14	May 2
19086	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		ZZZ		CPT14	May 2
19086	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT14	May 2
19086	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		ZZZ		CPT14	May 2
19086	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ		CPT14	May 2
19086	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		ZZZ		CPT14	May 2
19086	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		ZZZ		CPT14	May 2
19086	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		ZZZ		CPT14	May 2
19086	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		CPT14	May 2
19086	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		ZZZ		CPT14	May 2
19086	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		ZZZ		CPT14	May 2
19086	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 2
19086	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		ZZZ		CPT14	May 2
19086	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	1		ZZZ		CPT14	May 2
19086	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		ZZZ		CPT14	May 2
19100	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
19100	PEAC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
19100	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
19100	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
19100	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
19100	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000			
19100	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
19100	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
19100	PEAC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	8.375	1		000			
19100	PEAC	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	28.42	1		000			
19100	PEAC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
19100	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
19100	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	90		000			
19100	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
19101	PEAC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010			
19101	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
19101	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
19101	PEAC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
19101	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		010			
19101	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	010			
19101	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
19101	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010			
19101	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		010			
19101	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
19101	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
19101	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010			
19101	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
19101	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		010			
19101	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
19101	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
19101	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
19101	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
19101	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
19101	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
19101	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	4	4	010			
19101	PEAC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273	7		010			
19101	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
19101	PEAC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		010			
19101	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	186	60	010			
19101	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010			
19101	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	15	15	010			
19105	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT07	
19105	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT07	
19105	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT07	
19105	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.159	2		000		CPT07	
19105	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.089	1		000		CPT07	
19105	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT07	
19105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT07	
19105	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT07	
19105	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000		CPT07	
19105	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT07	
19105	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		CPT07	
19105	RUC	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.25	55		000		CPT07	
19105	RUC	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.25	144		000		CPT07	
19105	RUC	"Accessory, Procedure"	SD232	"probe, cryoablation (Visica ICE 30 or 40)"	item	1589	1		000		CPT07	
19105	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT07	
19105	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000		CPT07	
19105	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT07	
19105	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT07	
19105	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT07	
19105	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000		CPT07	
19105	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000		CPT07	
19105	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT07	
19105	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	50		000		CPT07	
19105	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000		CPT07	
19105	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		000		CPT07	
19105	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT07	
19105	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT07	
19105	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000		CPT07	
19110	PEAC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		090		Mar03	7
19110	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	7
19110	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	7
19110	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
19110	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	090		Mar03	7
19110	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	7
19110	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Mar03	7
19110	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	5		090		Mar03	7
19110	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	090		Mar03	7
19110	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
19110	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
19110	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
19110	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
19110	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar03	7
19110	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	7
19110	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
19110	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
19110	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Mar03	7
19110	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	7
19110	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	7
19110	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		090		Mar03	7
19110	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	7
19110	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	7
19110	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Mar03	7
19110	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		Mar03	7
19110	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Mar03	7
19110	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
19110	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
19110	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
19110	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		Mar03	7
19112	PEAC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		090		Mar03	7
19112	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	7
19112	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	7
19112	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
19112	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	090		Mar03	7
19112	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	7
19112	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Mar03	7
19112	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	5		090		Mar03	7
19112	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	090		Mar03	7
19112	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
19112	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
19112	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
19112	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
19112	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar03	7
19112	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	7
19112	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
19112	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
19112	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Mar03	7
19112	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	7
19112	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	7
19112	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		090		Mar03	7
19112	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	7
19112	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	7
19112	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Mar03	7
19112	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		Mar03	7
19112	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Mar03	7
19112	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
19112	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
19112	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
19112	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		Mar03	7
19120	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
19120	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	090			
19120	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
19120	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
19120	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090			
19120	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
19120	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
19120	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090			
19120	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090			
19120	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090			
19120	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090			
19120	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090			
19120	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	4		090			
19120	PEAC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539	2		090			
19120	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		090			
19120	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	60		090			
19120	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	15		090			
19120	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		090			
19120	PEAC	Lab	SL072	formalin	ml	0.009	10		090			
19120	PEAC	Infection Control	SM011	"cleaning brush, instruments"	item	1.95	1		090			
19125	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
19125	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	090			
19125	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
19125	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
19125	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090			
19125	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
19125	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
19125	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090			
19125	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090			
19125	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090			
19125	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090			
19125	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090			
19125	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	4		090			
19125	PEAC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539	2		090			
19125	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		090			
19125	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	60		090			
19125	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	15		090			
19125	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		090			
19125	PEAC	Lab	SL072	formalin	ml	0.009	10		090			
19125	PEAC	Infection Control	SM011	"cleaning brush, instruments"	item	1.95	1		090			
19260	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
19260	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19260	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3.5	090			
19260	PEAC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	22		3	090			
19260	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556		3	090			
19260	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
19260	PEAC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422		3	090			
19260	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		480	090			
19271	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090			
19271	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19271	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6.5	090			
19271	PEAC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	22		5	090			
19271	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556		5	090			
19271	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
19271	PEAC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422		5	090			
19271	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		600	090			
19272	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090			
19272	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19272	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		7	090			
19272	PEAC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	22		5	090			
19272	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556		5	090			
19272	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
19272	PEAC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422		5	090			
19272	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		600	090			
19281	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT14	May 2
19281	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 2
19281	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 2
19281	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	May 2
19281	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 2
19281	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT14	May 2
19281	RUC	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2		000		CPT14	May 2
19281	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 2
19281	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	2		000		CPT14	May 2
19281	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 2
19281	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT14	May 2
19281	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000		CPT14	May 2
19281	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT14	May 2
19281	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 2
19281	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		000		CPT14	May 2
19281	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT14	May 2
19281	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 2
19282	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		ZZZ		CPT14	May 2
19282	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ		CPT14	May 2
19282	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 2
19282	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ		CPT14	May 2
19282	RUC	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2		ZZZ		CPT14	May 2
19282	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	May 2
19282	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	2		ZZZ		CPT14	May 2
19282	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		ZZZ		CPT14	May 2
19282	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		ZZZ		CPT14	May 2
19282	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		ZZZ		CPT14	May 2
19282	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		ZZZ		CPT14	May 2
19282	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		CPT14	May 2
19282	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		ZZZ		CPT14	May 2
19282	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		ZZZ		CPT14	May 2
19282	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 2
19283	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT14	May 2
19283	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 2
19283	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 2
19283	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	May 2
19283	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 2
19283	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 2
19283	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		000		CPT14	May 2
19283	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT14	May 2
19283	RUC	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2		000		CPT14	May 2
19283	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 2
19283	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	2		000		CPT14	May 2
19283	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 2
19283	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 2
19283	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT14	May 2
19283	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000		CPT14	May 2
19283	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT14	May 2
19283	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 2
19283	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		000		CPT14	May 2
19283	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		CPT14	May 2
19283	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT14	May 2
19283	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 2
19283	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		000		CPT14	May 2
19283	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		000		CPT14	May 2
19283	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000		CPT14	May 2
19284	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		ZZZ		CPT14	May 2
19284	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ		CPT14	May 2
19284	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 2
19284	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		ZZZ		CPT14	May 2
19284	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ		CPT14	May 2
19284	RUC	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2		ZZZ		CPT14	May 2
19284	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	May 2
19284	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	2		ZZZ		CPT14	May 2
19284	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT14	May 2
19284	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		ZZZ		CPT14	May 2
19284	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		ZZZ		CPT14	May 2
19284	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		ZZZ		CPT14	May 2
19284	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		ZZZ		CPT14	May 2
19284	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		CPT14	May 2
19284	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		ZZZ		CPT14	May 2
19284	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		ZZZ		CPT14	May 2
19284	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		ZZZ		CPT14	May 2
19284	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 2
19284	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		ZZZ		CPT14	May 2
19284	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		ZZZ		CPT14	May 2
19284	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		ZZZ		CPT14	May 2
19285	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.089	1		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5		000		CPT14	May 2
19285	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000		CPT14	May 2
19285	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT14	May 2
19285	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 2
19285	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	3		000		CPT14	May 2
19285	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 2
19285	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 2
19285	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT14	May 2
19285	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000		CPT14	May 2
19285	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT14	May 2
19285	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 2
19285	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		000		CPT14	May 2
19285	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		CPT14	May 2
19285	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		000		CPT14	May 2
19285	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT14	May 2
19285	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 2
19285	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	2		000		CPT14	May 2
19285	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000		CPT14	May 2
19285	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		000		CPT14	May 2
19285	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000		CPT14	May 2
19286	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.089	1		ZZZ		CPT14	May 2
19286	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		ZZZ		CPT14	May 2
19286	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ		CPT14	May 2
19286	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 2
19286	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5		ZZZ		CPT14	May 2
19286	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ		CPT14	May 2
19286	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	May 2
19286	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	3		ZZZ		CPT14	May 2
19286	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT14	May 2
19286	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		ZZZ		CPT14	May 2
19286	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 2
19286	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	2		ZZZ		CPT14	May 2
19286	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		ZZZ		CPT14	May 2
19286	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		ZZZ		CPT14	May 2
19287	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT14	May 2
19287	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 2
19287	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 2
19287	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	May 2
19287	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 2
19287	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 2
19287	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		000		CPT14	May 2
19287	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT14	May 2
19287	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT14	May 2
19287	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		000		CPT14	May 2
19287	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		000		CPT14	May 2
19287	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		000		CPT14	May 2
19287	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT14	May 2
19287	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT14	May 2
19287	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000		CPT14	May 2
19287	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000		CPT14	May 2
19287	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT14	May 2
19287	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 2
19287	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		CPT14	May 2
19287	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT14	May 2
19287	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 2
19287	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		000		CPT14	May 2
19288	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		ZZZ		CPT14	May 2
19288	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ		CPT14	May 2
19288	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 2
19288	RUC	"Hypodermic, IV"	SC022	Mammotome probe guide	item	7	1		ZZZ		CPT14	May 2
19288	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		ZZZ		CPT14	May 2
19288	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	May 2
19288	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	75	1		ZZZ		CPT14	May 2
19288	RUC	"Accessory, Procedure"	SD094	Mammotome probe	item	200	1		ZZZ		CPT14	May 2
19288	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		ZZZ		CPT14	May 2
19288	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		ZZZ		CPT14	May 2
19288	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		ZZZ		CPT14	May 2
19288	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		ZZZ		CPT14	May 2
19288	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		ZZZ		CPT14	May 2
19288	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		ZZZ		CPT14	May 2
19288	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		CPT14	May 2
19288	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		ZZZ		CPT14	May 2
19288	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		ZZZ		CPT14	May 2
19288	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		CPT14	May 2
19288	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		ZZZ		CPT14	May 2
19296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
19296	RUC	"Kit, Pack, Tray"	SA087	"tray, RTS applicator (MammoSite)"	item	2550	1		000			
19296	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
19296	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000			
19296	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
19296	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000			
19296	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
19296	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
19296	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
19296	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
19296	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000			
19296	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
19296	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
19296	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
19296	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
19296	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
19296	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000			
19296	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
19296	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000			
19296	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
19296	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	240		000			
19296	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	5		000			
19296	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000			
19296	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000			
19298	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
19298	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
19298	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
19298	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000			
19298	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
19298	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000			
19298	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
19298	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
19298	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
19298	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
19298	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000			
19298	RUC	"Hypodermic, IV"	SC073	"implant catheter, button-end, single leader"	item	18.5	30		000			
19298	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
19298	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
19298	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
19298	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
19298	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
19298	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000			
19298	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
19298	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000			
19298	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
19298	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	240		000			
19298	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	5		000			
19298	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000			
19298	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000			
19300	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090			cs
19300	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	090			
19300	PEAC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		090			
19300	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		090			
19300	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	3.5	3.5	090			
19300	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
19300	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	6		090			
19300	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		090			
19300	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		090			
19300	PEAC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		090			
19300	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1	1	090			
19300	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1	1	090			
19300	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3	1	090			
19300	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2	1	090			
19300	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090			
19300	PEAC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		090			
19300	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090			
19300	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090			
19300	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	2		090			
19300	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090			
19300	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090			
19300	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
19300	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
19300	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	4		090			
19300	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1	1	090			
19300	PEAC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273	7		090			
19300	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	14	4	090			
19300	PEAC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		090			
19300	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		090			
19300	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	52	2	090			
19300	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2	1	090			
19300	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	15		090			
19300	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10	10	090			cs
19300	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4	1	090			
19300	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		090			
19301	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
19301	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19301	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2.5	090			
19301	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
19301	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175		1	090			
19301	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
19301	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	090			
19301	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
19301	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
19301	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		2	090			
19301	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
19301	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	090			
19301	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
19302	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
19302	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19302	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT12	5 Year
19302	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		2	090			
19302	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175		2	090			
19302	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090			
19302	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
19302	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
19302	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		7	090		CPT12	5 Year
19302	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		3	090		CPT12	5 Year
19302	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090			
19302	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		17	090		CPT12	5 Year
19302	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
19303	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
19303	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19303	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
19303	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		2	090			
19303	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175		2	090			
19303	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090			
19303	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
19303	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
19303	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
19303	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		4	090			
19303	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090			
19303	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
19303	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
19304	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
19304	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19304	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4.5	090			
19304	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		2	090			
19304	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175		2	090			
19304	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090			
19304	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
19304	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
19304	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
19304	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		4	090			
19304	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090			
19304	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
19304	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
19305	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
19305	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19305	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4.5	090			
19305	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		2	090			
19305	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175		2	090			
19305	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090			
19305	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
19305	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694		1	090			
19305	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401		1	090			
19305	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
19305	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
19305	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		8	090			
19305	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090			
19305	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
19305	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
19306	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
19306	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19306	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5.5	090			
19306	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		2	090			
19306	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175		2	090			
19306	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090			
19306	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
19306	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694		1	090			
19306	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401		1	090			
19306	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
19306	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
19306	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		8	090			
19306	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090			
19306	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
19306	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
19307	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
19307	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
19307	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5.5	090			
19307	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		2	090			
19307	PEAC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175		2	090			
19307	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090			
19307	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
19307	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694		1	090			
19307	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401		1	090			
19307	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
19307	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
19307	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		8	090			
19307	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090			
19307	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
19307	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
19316	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
19316	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
19316	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
19316	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
19316	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
19316	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
19318	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
19318	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		2	090			
19324	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
19324	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
19324	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		3	090			
19324	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		3	090			
19324	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			
19324	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
19325	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
19325	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
19325	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
19325	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
19325	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
19325	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
19328	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
19328	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
19328	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		3	090			
19328	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		3	090			
19328	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			
19328	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
19330	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
19330	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
19330	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
19330	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		2	090			
19330	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
19330	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090			
19340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Oct09	
19340	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Oct09	
19342	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
19342	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
19342	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		3	090			
19342	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		3	090			
19342	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			
19342	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
19350	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
19350	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
19350	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
19350	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
19350	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
19350	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
19350	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
19350	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
19350	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
19350	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
19350	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
19350	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
19350	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
19350	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
19350	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
19350	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
19350	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	5		090		Aug03	6
19350	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
19350	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
19350	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
19350	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
19355	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
19355	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
19355	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
19355	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
19355	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
19355	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
19355	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
19355	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
19355	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
19355	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
19355	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
19355	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
19355	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
19355	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	6
19355	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
19355	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
19355	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	4		090		Aug03	6
19355	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
19355	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
19355	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
19355	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
19357	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		10	090		CPT11	46
19357	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT11	46
19357	RUC	"Kit, Pack, Tray"	SA108	"kit, tissue expansion"	kit	8.313		8	090		CPT11	46
19361	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT07	
19361	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT07	
19364	PEAC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090			
19364	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
19364	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
19364	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
19364	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
19364	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
19364	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
19364	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
19367	PEAC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090			
19367	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		4	090			
19367	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
19367	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
19367	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
19367	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
19367	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
19367	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
19368	PEAC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090			
19368	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
19368	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
19368	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
19368	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
19368	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
19368	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
19368	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
19369	PEAC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090			
19369	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
19369	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
19369	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
19369	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
19369	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
19369	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
19369	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
19370	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
19370	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
19370	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		3	090			
19370	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		3	090			
19370	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			
19370	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
19371	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
19371	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
19371	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
19371	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
19371	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
19371	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
19380	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090			
19380	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
19380	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
19380	CPEP	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		4	090			
19380	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
19380	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
19396	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
19396	PEAC	"Kit, Pack, Tray"	SA090	"kit, moulage (implantech)"	kit	75	1		000		Feb05	
19396	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Feb05	
19396	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000	Feb05	Feb05	
19396	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	93000	Feb05	
19396	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Feb05	
19396	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Feb05	
19396	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		000	Feb05	Feb05	
19396	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		000	Feb05	Feb05	
19396	PEAC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		000	Feb05	Feb05	
20005	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
20005	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
20005	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
20005	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
20005	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
20005	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
20005	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
20005	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
20005	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
20005	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
20005	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
20005	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
20005	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
20005	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
20005	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
20005	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
20005	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
20005	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
20005	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
20100	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar04	U
20100	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		Mar04	U
20101	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	7
20101	PEAC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010		Mar03	7
20101	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	7
20101	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	7
20101	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	30		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	7
20101	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar03	7
20101	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010		Mar03	7
20101	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	7
20101	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010		Mar03	7
20101	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar03	7
20101	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Mar03	7
20101	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar03	7
20101	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	7
20101	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	7
20101	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	7
20101	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	7
20101	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010		Mar03	7
20101	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Mar03	7
20101	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	7
20101	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	7
20101	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		010		Mar03	7
20101	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Mar03	7
20101	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	7
20101	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	7
20101	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	7
20101	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		010		Mar03	7
20101	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	7
20101	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Mar03	7
20102	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	7
20102	PEAC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010		Mar03	7
20102	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	7
20102	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	7
20102	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	30		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	7
20102	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar03	7
20102	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010		Mar03	7
20102	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	7
20102	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010		Mar03	7
20102	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar03	7
20102	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Mar03	7
20102	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar03	7
20102	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	7
20102	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	7
20102	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	7
20102	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	7
20102	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		010		Mar03	7
20102	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Mar03	7
20102	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	7
20102	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	7
20102	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		010		Mar03	7
20102	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Mar03	7
20102	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	7
20102	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	7
20102	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	7
20102	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		010		Mar03	7
20102	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	7
20102	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010		Mar03	7
20103	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
20103	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
20103	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
20103	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Mar03	6
20103	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		010		Mar03	6
20103	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
20103	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
20103	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
20103	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
20103	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
20103	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
20103	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	6
20103	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
20103	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
20103	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	5		010		Mar03	6
20103	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
20103	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
20103	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar03	6
20103	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	108		010		Mar03	6
20103	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
20103	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
20103	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
20103	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
20103	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
20150	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Jan04	5
20150	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Jan04	5
20200	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
20200	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
20200	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		000			
20200	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		000			
20200	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		000			
20200	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		000			
20200	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000			
20200	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
20200	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
20200	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
20200	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20200	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20200	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
20200	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
20200	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000			
20200	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
20200	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
20200	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
20200	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20200	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
20200	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
20200	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
20200	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
20200	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
20200	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
20205	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
20205	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
20205	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
20205	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		000			
20205	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		000			
20205	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		000			
20205	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		000			
20205	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000			
20205	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
20205	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
20205	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
20205	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20205	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20205	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
20205	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
20205	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000			
20205	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
20205	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
20205	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000			
20205	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20205	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
20205	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
20205	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
20205	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
20205	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
20205	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
20206	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	5
20206	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		Jan04	5
20206	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	5
20206	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Jan04	5
20206	PEAC	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	19	1		000		Jan04	5
20206	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Jan04	5
20206	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Jan04	5
20206	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		Jan04	5
20206	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Jan04	5
20206	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		Jan04	5
20206	PEAC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		Jan04	5
20206	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		Jan04	5
20220	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	5
20220	PEAC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	34.47	1		000		Jan04	5
20220	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		Jan04	5
20220	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	5
20220	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Jan04	5
20220	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		Jan04	5
20220	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Jan04	5
20220	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000		Jan04	5
20220	PEAC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		000		Jan04	5
20220	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		Jan04	5
20225	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	5
20225	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		Jan04	5
20225	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	5
20225	PEAC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		Jan04	5
20225	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Jan04	5
20225	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Jan04	5
20225	PEAC	"Hypodermic, IV"	SC077	"needle, bone biopsy"	item	65	1		000		Jan04	5
20225	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Jan04	5
20225	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		Jan04	5
20225	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Jan04	5
20225	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		Jan04	5
20225	PEAC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		000		Jan04	5
20225	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		Jan04	5
20240	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar03	6
20240	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		Mar03	6
20245	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	010		Mar03	6
20245	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		Mar03	6
20250	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Jan04	5
20250	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		Jan04	5
20251	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Jan04	5
20251	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		Jan04	5
20500	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
20500	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Sep04	
20500	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
20500	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Sep04	
20500	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
20500	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
20500	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Sep04	
20500	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Sep04	
20500	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		010		Sep04	
20500	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010		Sep04	
20500	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Sep04	
20501	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
20501	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000			
20501	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
20501	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
20501	PEAC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
20501	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
20501	PEAC	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.973	1		000			
20501	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
20501	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20501	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
20520	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
20520	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
20520	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
20520	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
20520	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar03	6
20520	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		Mar03	6
20520	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
20520	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
20520	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
20520	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
20520	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
20520	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
20520	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
20520	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
20520	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
20520	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
20520	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
20525	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
20525	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
20525	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
20525	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Mar03	6
20525	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		010		Mar03	6
20525	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
20525	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
20525	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
20525	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
20525	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
20525	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
20525	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	6
20525	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
20525	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
20525	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	5		010		Mar03	6
20525	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
20525	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
20525	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar03	6
20525	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	108		010		Mar03	6
20525	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
20525	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
20525	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
20525	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
20525	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
20526	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
20526	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
20526	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20526	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20526	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
20526	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20526	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000			
20526	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
20527	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT12	May 2
20527	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT12	May 2
20527	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT12	May 2
20527	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		000		CPT12	May 2
20527	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		000		CPT12	May 2
20527	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT12	May 2
20527	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT12	May 2
20527	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT12	May 2
20550	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
20550	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
20550	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20550	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20550	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
20550	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20550	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000			
20550	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
20551	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
20551	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
20551	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20551	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20551	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
20551	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20551	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000			
20551	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
20552	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
20552	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
20552	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20552	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20552	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
20552	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20552	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000			
20552	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
20553	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
20553	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
20553	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20553	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20553	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
20553	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20553	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000			
20553	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
20600	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT13	May 42
20600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 42
20600	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT13	May 42
20600	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000		CPT13	May 42
20600	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT13	May 42
20600	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 42
20600	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000		CPT13	May 42
20600	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 42
20600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 42
20604	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000	"20600, 76942"	May 2014	May 1
20604		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000	"20600, 76942"	May 2014	May 1
20604	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	"20600, 76942"	May 2014	May 1
20604	Invoice		SJ089	"ultrasound transmission gel, sterile (single use)"		1.71	1		000	"20600, 76942"	May 2014	May 1
20604	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000	"20600, 76942"	May 2014	May 1
20604	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000	"20600, 76942"	May 2014	May 1
20605	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT13	May 42
20605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 42
20605	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT13	May 42
20605	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000		CPT13	May 42
20605	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT13	May 42
20605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 42
20605	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		000		CPT13	May 42
20605	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 42
20605	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 42
20606	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000	"20605, 76942"	May 2014	May 1
20606	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	"20605, 76942"	May 2014	May 1
20606	RUC		SJ089	"ultrasound transmission gel, sterile (single use)"		1.71	1		000	"20605, 76942"	May 2014	May 1
20606	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000	"20605, 76942"	May 2014	May 1
20606	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000	"20605, 76942"	May 2014	May 1
20610	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT13	May 42
20610	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 42
20610	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT13	May 42
20610	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT13	May 42
20610	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT13	May 42
20610	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 42
20610	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT13	May 42
20610	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 42
20610	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT13	May 42
20611	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000	"20610, 76942"	May 2014	May 1
20611		"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000	"20610, 76942"	May 2014	May 1
20611	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	"20610, 76942"	May 2014	May 1
20611	RUC		SJ089	"ultrasound transmission gel, sterile (single use)"		1.71	1		000	"20610, 76942"	May 2014	May 1
20611	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000	"20610, 76942"	May 2014	May 1
20611	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000	"20610, 76942"	May 2014	May 1
20612	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
20612	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
20612	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000			
20612	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		000			
20612	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
20612	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
20612	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000			
20612	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
20612	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
20615	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
20615	PEAC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	34.47	1		010		Mar03	6
20615	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	6
20615	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
20615	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
20650	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
20650	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar03	6
20650	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	6
20650	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		Mar03	6
20650	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar03	6
20650	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
20650	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
20650	PEAC	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	4.807	1		010		Mar03	6
20650	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
20650	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
20650	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
20661	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
20661	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
20662	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
20663	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
20664	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	20661		
20664	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
20665	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
20665	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
20665	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
20665	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010			
20665	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
20665	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		010			
20665	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		010			
20665	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		010			
20665	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	5		010			
20670	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	D
20670	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	D
20670	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar04	D
20670	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	18.076	1		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010		Mar04	D
20670	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		010		Mar04	D
20670	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar04	D
20670	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	D
20670	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	3		010		Mar04	D
20670	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar04	D
20670	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar04	D
20670	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar04	D
20670	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		010		Mar04	D
20670	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	5		010		Mar04	D
20670	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		010		Mar04	D
20670	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar04	D
20670	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	D
20670	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar04	D
20670	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		010		Mar04	D
20670	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010		Mar04	D
20670	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar04	D
20670	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar04	D
20670	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	D
20670	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar04	D
20680	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
20680	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	5
20680	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
20680	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
20680	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
20680	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
20680	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
20680	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
20680	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
20680	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
20680	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
20680	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
20680	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
20680	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
20680	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
20680	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
20680	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
20680	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
20680	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
20680	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
20680	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
20680	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
20680	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
20690	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT08	4*
20692	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		CPT08	4*
20693	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
20693	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
20694	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
20694	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
20694	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		090		Aug03	5
20694	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		090		Aug03	5
20694	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
20694	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
20694	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
20694	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
20694	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	2		090		Aug03	5
20694	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
20694	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	5
20694	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
20694	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
20694	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
20694	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
20694	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
20694	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
20696	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		CPT09	3
20697	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT09	3
20697	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT09	3
20697	RUC	"Accessory, Procedure"	SD240	"strut, replacement, dynamic external fixation"	item	1151	1		000		CPT09	3
20802	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090			
20802	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20805	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
20805	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
20808	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
20808	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
20816	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
20816	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
20822	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
20822	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
20824	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
20824	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
20827	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
20827	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
20838	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
20838	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
20838	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
20838	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
20838	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
20900	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Apr08	ss
20900	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Apr08	ss
20900	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1		000		Apr08	ss
20900	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		000		Apr08	ss
20900	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		000		Apr08	ss
20900	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		000		Apr08	ss
20900	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		000		Apr08	ss
20900	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Apr08	ss
20900	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Apr08	ss
20900	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000		Apr08	ss
20900	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		Apr08	ss
20900	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		000		Apr08	ss
20900	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000		Apr08	ss
20900	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		Apr08	ss
20900	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		000		Apr08	ss
20900	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		000		Apr08	ss
20900	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Apr08	ss
20900	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Apr08	ss
20900	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Apr08	ss
20900	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Apr08	ss
20900	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		Apr08	ss
20900	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Apr08	ss
20900	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		000		Apr08	ss
20910	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
20910	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
20912	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
20912	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
20920	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
20920	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20922	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
20922	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
20922	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
20922	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
20922	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
20922	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
20922	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
20922	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
20922	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
20922	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
20922	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
20922	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
20922	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
20922	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
20922	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	6
20922	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
20922	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	6
20922	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
20922	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
20922	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
20922	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
20924	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
20924	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20926	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
20926	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20950	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	6
20950	PEAC	"Kit, Pack, Tray"	SA078	"kit, slit catheter (for compartment pressure monitor)"	kit	73.75	1		000		Mar03	6
20950	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar03	6
20950	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Mar03	6
20950	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Mar03	6
20950	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Mar03	6
20955	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
20955	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20956	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090	20955		
20956	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	20955		
20957	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		8	090	20955		
20957	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	20955		
20962	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		8	090			
20962	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20969	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
20969	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20970	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
20970	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
20972	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Aug03	5
20972	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
20973	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
20973	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
20974	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	6
20979	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
20982	RUC	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	50	1		000			
20982	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
20982	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
20982	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		000			
20982	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
20982	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
20982	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000			
20982	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000			
20982	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
20982	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000			
20982	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
20982	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
20982	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
20982	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
20982	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
20982	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
20982	RUC	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	1995	1		000			
20982	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
20982	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
20982	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000			
20982	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
20982	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000			
20982	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
20982	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
20982	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
20982	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000			
20982	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000			
20982	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		000			
20982	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
20982	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000			
20983	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000	20982	May 2014	May 19
20983	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	20982	May 2014	May 19
20983		"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000	20982	May 2014	May 19
20983		"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000	20982	May 2014	May 19
20983	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000	20982	May 2014	May 19
20983	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000	20982	May 2014	May 19
20983	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	20982	May 2014	May 19
20983		"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000	20982	May 2014	May 19
20983	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000	20982	May 2014	May 19
20983	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000	20982	May 2014	May 19
20983		"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	4		000	20982	May 2014	May 19
20983	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000	20982	May 2014	May 19
20983	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000	20982	May 2014	May 19
20983	Invoice	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.57	455		000	20982	May 2014	May 19
20983	Invoice	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.32	575		000	20982	May 2014	May 19
20983		"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1175	3		000	20982	May 2014	May 19
20983	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000	20982	May 2014	May 19
20983		"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	1.473	1		000	20982	May 2014	May 19
20983	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000	20982	May 2014	May 19
20983	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000	20982	May 2014	May 19
20983	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000	20982	May 2014	May 19
20983	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000	20982	May 2014	May 19
20983	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000	20982	May 2014	May 19
20983		"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		000	20982	May 2014	May 19
20983		Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000	20982	May 2014	May 19
20983	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	3		000	20982	May 2014	May 19
21010	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21010	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090		Apr06	J
21011	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	27
21011	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	27
21011	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	27
21011	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	27
21011	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	27
21011	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	27
21011	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	27
21011	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	27
21011	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	27
21011	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	27
21011	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT10	27
21011	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT10	27
21011	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		CPT10	27
21011	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	27
21011	RUC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	27
21011	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	27
21011	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	27
21011	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	27
21011	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	27
21011	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	27
21011	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	27
21011	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	27
21011	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		CPT10	27
21011	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	27
21011	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		090		CPT10	27
21011	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	27
21011	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	27
21011	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	27
21011	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	27
21011	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	27
21012	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
21012	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21013	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	27
21013	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	27
21013	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	27
21013	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	27
21013	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	27
21013	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT10	27
21013	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	27
21013	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	27
21013	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	27
21013	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	27
21013	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	27
21013	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT10	27
21013	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT10	27
21013	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		CPT10	27
21013	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	27
21013	RUC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	27
21013	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	27
21013	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	27
21013	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	27
21013	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	27
21013	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	27
21013	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	27
21013	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	27
21013	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	27
21013	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		CPT10	27
21013	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	27
21013	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		090		CPT10	27
21013	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	27
21013	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	27
21013	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	27
21013	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	27
21013	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	27
21014	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
21014	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21015	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
21015	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
21016	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
21016	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21025	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21025	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Mar03	9
21025	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21025	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21025	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21025	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21025	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21025	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21025	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21025	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21025	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21025	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21025	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21025	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	5	4	090		Mar03	9
21025	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	5	4	090		Mar03	9
21025	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	5	4	090		Mar03	9
21025	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21025	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21025	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21025	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21025	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21025	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21025	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21025	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21025	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21025	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21025	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21025	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21026	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21026	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Mar03	9
21026	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21026	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21026	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21026	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21026	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21026	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21026	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21026	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21026	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21026	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21026	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21026	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	5	4	090		Mar03	9
21026	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	5	4	090		Mar03	9
21026	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	5	4	090		Mar03	9
21026	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21026	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21026	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21026	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21026	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21026	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21026	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21026	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21026	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21026	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21026	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21026	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21029	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21029	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	9
21029	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21029	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21029	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21029	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21029	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21029	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21029	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21029	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21029	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21029	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21029	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21029	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	4	3	090		Mar03	9
21029	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	3	090		Mar03	9
21029	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4	3	090		Mar03	9
21029	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21029	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21029	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21029	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21029	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21029	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21029	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21029	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21029	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21029	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21029	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21029	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21030	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21030	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	9
21030	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21030	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21030	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21030	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21030	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21030	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21030	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21030	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21030	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21030	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21030	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21030	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	4	3	090		Mar03	9
21030	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	3	090		Mar03	9
21030	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4	3	090		Mar03	9
21030	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21030	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21030	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21030	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21030	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21030	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21030	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21030	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21030	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21030	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21030	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21030	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21031	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21031	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	9
21031	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21031	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21031	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21031	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21031	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21031	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21031	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21031	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21031	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21031	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21031	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21031	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
21031	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
21031	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
21031	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21031	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21031	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21031	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21031	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21031	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21031	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21031	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21031	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21031	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21031	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21031	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21032	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21032	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	9
21032	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21032	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21032	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21032	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21032	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21032	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21032	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21032	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21032	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21032	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21032	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21032	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
21032	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
21032	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
21032	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21032	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21032	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21032	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21032	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21032	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21032	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21032	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21032	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21032	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21032	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21032	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21034	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21034	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Mar03	9
21034	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21034	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21034	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21034	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21034	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21034	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21034	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21034	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21034	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21034	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21034	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21034	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	5	4	090		Mar03	9
21034	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	5	4	090		Mar03	9
21034	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	5	4	090		Mar03	9
21034	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21034	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21034	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21034	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21034	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21034	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21034	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21034	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21034	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21034	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21034	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21034	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21040	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
21040	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	9
21040	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
21040	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
21040	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
21040	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
21040	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
21040	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
21040	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
21040	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
21040	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
21040	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
21040	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
21040	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	4	3	090		Mar03	9
21040	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	3	090		Mar03	9
21040	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4	3	090		Mar03	9
21040	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
21040	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
21040	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	9
21040	PEAC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
21040	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar03	9
21040	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar03	9
21040	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
21040	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
21040	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
21040	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
21040	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
21040	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	9
21044	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar03	9
21044	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar03	9
21044	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar03	9
21044	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar03	9
21044	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090		Mar03	9
21045	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar03	9
21045	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar03	9
21045	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar03	9
21045	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar03	9
21045	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090		Mar03	9
21046	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
21046	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
21046	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		6	090			
21046	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
21046	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
21046	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		6	090			
21046	RUC	"Gown, Drape"	SB038	safety glasses	item	2.902		6	090			
21046	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		6	090			
21046	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		3	090			
21046	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		3	090			
21046	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5		2	090			
21046	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
21046	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
21046	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139		3	090			
21046	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013		24	090			
21046	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		24	090			
21046	RUC	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5	090			
21046	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		18	090			
21046	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		18	090			
21047	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
21047	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21048	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
21048	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
21048	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		6	090			
21048	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
21048	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
21048	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		6	090			
21048	RUC	"Gown, Drape"	SB038	safety glasses	item	2.902		6	090			
21048	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		6	090			
21048	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		3	090			
21048	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		3	090			
21048	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5		2	090			
21048	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
21048	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
21048	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139		3	090			
21048	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013		24	090			
21048	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		24	090			
21048	RUC	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5	090			
21048	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		18	090			
21048	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		18	090			
21049	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
21049	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21050	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar03	9
21050	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar03	9
21050	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar03	9
21050	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar03	9
21050	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090		Mar03	9
21060	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar03	9
21060	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar03	9
21060	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar03	9
21060	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar03	9
21060	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090		Mar03	9
21070	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar03	9
21070	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar03	9
21070	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar03	9
21070	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar03	9
21070	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090		Mar03	9
21073	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT08	6
21073	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		090		CPT08	6
21073	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	5	4	090		CPT08	6
21073	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	2		090		CPT08	6
21073	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	5	4	090		CPT08	6
21073	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	5	4	090		CPT08	6
21073	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.792	1		090		CPT08	6
21073	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	6		090		CPT08	6
21073	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		CPT08	6
21073	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		CPT08	6
21073	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		CPT08	6
21073	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT08	6
21073	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	54		090		CPT08	6
21073	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	5	4	090		CPT08	6
21076	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010			
21076	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		010	21079	Final	06
21076	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		010	21079	Final	06
21076	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		010	21079	Final	06
21076	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1		010		Final	06
21076	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		010	21079	Final	06
21076	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010	21079	Final	06
21076	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		010	21079	Final	06
21076	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		010	21079	Final	06
21076	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		010		Final	06
21076	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		16		010		Final	06
21076	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		2		010		Final	06
21076	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		010		Final	06
21076	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		010		Final	06
21076	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	3		010		Final	06
21076	CMS	Lab	SL046	dental impression tray	item	0.446	1		010	21079	Final	06
21076	CMS	Lab	SL047	dental stone powder	lb	1.598	1		010	21079	Final	06
21076	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		010	21079	Final	06
21076	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		010	21079	Final	06
21076	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		010		Final	06
21076	CMS	Lab	SL236	"reline material, Trusoft"	gm		45		010		Final	06
21077	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010			
21077	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090	21088	Final	06
21077	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090	21088	Final	06
21077	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090	21088	Final	06
21077	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21077	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090	21088	Final	06
21077	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090	21088	Final	06
21077	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090	21088	Final	06
21077	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090	21088	Final	06
21077	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3	30		090		Final	06
21077	CMS	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.42	1		090		Final	06
21077	CMS	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.05		090		Final	06
21077	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21077	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21077	CMS	Lab	SL046	dental impression tray	item	0.446	1		090	21088	Final	06
21077	CMS	Lab	SL047	dental stone powder	lb	1.598	1		090	21088	Final	06
21077	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090	21088	Final	06
21077	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090	21088	Final	06
21077	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21077	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21077	CMS	Lab	SL237	silicone	gm		57		090		Final	06
21079	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3		010			
21079	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21079	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21079	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21079	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21079	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		090		Final	06
21079	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1		090		Final	06
21079	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21079	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21079	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21079	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21079	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		090		Final	06
21079	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8		090		Final	06
21079	CMS	"Pharmacy, NonRx"	SJ084	teeth set	item		1		090		Final	06
21079	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21079	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21079	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		090		Final	06
21079	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	6		090		Final	06
21079	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21079	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21079	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21079	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21079	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21079	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		090		Final	06
21079	CMS	Lab	SL236	"reline material, Trusoft"	gm		45		090		Final	06
21080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3		010			
21080	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21080	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21080	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21080	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21080	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		090		Final	06
21080	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1		090		Final	06
21080	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21080	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21080	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21080	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21080	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		090		Final	06
21080	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8		090		Final	06
21080	CMS	"Pharmacy, NonRx"	SJ084	teeth set	item		1		090		Final	06
21080	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21080	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21080	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		090		Final	06
21080	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	6		090		Final	06
21080	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21080	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21080	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21080	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21080	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21080	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		090		Final	06
21080	CMS	Lab	SL228	Greenstick compound	item		5		090		Final	06
21080	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21081	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3		010		Final	06
21081	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21081	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21081	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21081	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21081	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		090		Final	06
21081	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21081	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21081	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21081	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21081	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		090		Final	06
21081	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8		090		Final	06
21081	CMS	"Pharmacy, NonRx"	SJ084	teeth set	item		1		090		Final	06
21081	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21081	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21081	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	2		090		Final	06
21081	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	6		090		Final	06
21081	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21081	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21081	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21081	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21081	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21081	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		090		Final	06
21081	CMS	Lab	SL228	Greenstick compound	item		5		090		Final	06
21081	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21081	CMS	Lab	SL236	"reline material, Trusoft"	gm		45		090		Final	06
21082	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4		010			
21082	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21082	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21082	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21082	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21082	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		090		Final	06
21082	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21082	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21082	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21082	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21082	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		090		Final	06
21082	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8		090		Final	06
21082	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		3		090		Final	06
21082	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21082	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21082	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		090		Final	06
21082	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	6		090		Final	06
21082	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21082	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21082	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21082	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21082	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21082	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		090		Final	06
21082	CMS	Lab	SL228	Greenstick compound	item		1		090		Final	06
21082	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21082	CMS	Lab	SL236	"reline material, Trusoft"	gm		45		090		Final	06
21083	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4		010			
21083	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21083	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21083	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21083	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21083	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		090		Final	06
21083	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21083	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21083	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21083	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21083	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		090		Final	06
21083	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8		090		Final	06
21083	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		2		090		Final	06
21083	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21083	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21083	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		090		Final	06
21083	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	6		090		Final	06
21083	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21083	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21083	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21083	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21083	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21083	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		090		Final	06
21083	CMS	Lab	SL228	Greenstick compound	item		1		090		Final	06
21083	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21083	CMS	Lab	SL236	"reline material, Trusoft"	gm		45		090		Final	06
21084	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4		010			
21084	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21084	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21084	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21084	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21084	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		090		Final	06
21084	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21084	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21084	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21084	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21084	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		090		Final	06
21084	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8		090		Final	06
21084	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		2		090		Final	06
21084	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21084	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21084	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		090		Final	06
21084	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	3		090		Final	06
21084	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21084	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21084	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21084	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21084	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21084	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		090		Final	06
21084	CMS	Lab	SL228	Greenstick compound	item		1		090		Final	06
21084	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21084	CMS	Lab	SL236	"reline material, Trusoft"	gm		45		090		Final	06
21085	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010			
21085	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		010		Final	06
21085	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		010		Final	06
21085	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		010		Final	06
21085	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		010		Final	06
21085	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		010		Final	06
21085	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1		010		Final	06
21085	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		010		Final	06
21085	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Final	06
21085	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		010		Final	06
21085	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		010		Final	06
21085	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	24		010		Final	06
21085	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8		010		Final	06
21085	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		010		Final	06
21085	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		010		Final	06
21085	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		010		Final	06
21085	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.029	3		010		Final	06
21085	CMS	Lab	SL046	dental impression tray	item	0.446	1		010		Final	06
21085	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		010		Final	06
21085	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		010		Final	06
21085	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		010		Final	06
21085	CMS	Lab	SL205	"acylic, dental"	gm		45		010		Final	06
21085	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1		010		Final	06
21085	CMS	Lab	SL228	Greenstick compound	item		1		010		Final	06
21085	CMS	Lab	SL230	"impression material, final"	ml		6		010		Final	06
21086	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010			
21086	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21086	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21086	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21086	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21086	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21086	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21086	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21086	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21086	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3	30		090		Final	06
21086	CMS	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5		090		Final	06
21086	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21086	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21086	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21086	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21086	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21086	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21086	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21086	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21086	CMS	Lab	SL237	silicone	gm		57		090		Final	06
21087	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010			
21087	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090		Final	06
21087	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	14		090		Final	06
21087	CMS	"Gown, Drape"	SB037	pillow case	item	0.307	6		090		Final	06
21087	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		090		Final	06
21087	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	14		090		Final	06
21087	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Final	06
21087	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		090		Final	06
21087	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		090		Final	06
21087	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3	30		090		Final	06
21087	CMS	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5		090		Final	06
21087	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45		090		Final	06
21087	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45		090		Final	06
21087	CMS	Lab	SL046	dental impression tray	item	0.446	1		090		Final	06
21087	CMS	Lab	SL047	dental stone powder	lb	1.598	0.75		090		Final	06
21087	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		090		Final	06
21087	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		090		Final	06
21087	CMS	Lab	SL205	"acylic, dental"	gm		45		090		Final	06
21087	CMS	Lab	SL230	"impression material, final"	ml		6		090		Final	06
21087	CMS	Lab	SL237	silicone	gm		57		090		Final	06
21100	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21100	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21100	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21100	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21100	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	6	5	090		Aug03	6
21100	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21100	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21100	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
21100	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
21100	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21100	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21100	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21100	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
21100	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21100	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
21100	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
21100	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21100	PEAC	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	6		090		Aug03	6
21100	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21100	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21100	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21100	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	3		090		Aug03	6
21100	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21100	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
21100	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21100	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	12	10	090		Aug03	6
21100	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	6	5	090		Aug03	6
21100	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	50	50	090		Aug03	6
21100	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		090		Aug03	6
21100	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		090		Aug03	6
21100	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		Aug03	6
21110	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21110	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21110	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21110	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	6	5	090		Aug03	6
21110	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	5	5	090		Aug03	6
21110	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21110	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21110	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21110	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21110	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21110	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21110	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	6	5	090		Aug03	6
21110	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Aug03	6
21110	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Aug03	6
21110	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	6	5	090		Aug03	6
21110	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6	5	090		Aug03	6
21110	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	5	090		Aug03	6
21110	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	6	5	090		Aug03	6
21110	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	6	5	090		Aug03	6
21110	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Aug03	6
21110	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	120	90	090		Aug03	6
21110	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	12		090		Aug03	6
21110	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Aug03	6
21110	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21110	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	12	10	090		Aug03	6
21110	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Aug03	6
21110	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Aug03	6
21110	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	6	5	090		Aug03	6
21110	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	6	5	090		Aug03	6
21116	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Jan04	7
21116	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Jan04	7
21116	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Jan04	7
21116	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Jan04	7
21120	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	I
21120	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Mar04	I
21120	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	I
21120	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Mar04	I
21120	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4.5	2.5	090		Mar04	I
21120	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5	090		Mar04	I
21120	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	5.5	3.5	090		Mar04	I
21120	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	4.5	3.5	090		Mar04	I
21120	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar04	I
21120	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		090		Mar04	I
21120	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	4.5	3.5	090		Mar04	I
21120	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4.5	3.5	090		Mar04	I
21120	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4.5	3.5	090		Mar04	I
21120	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Mar04	I
21120	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	I
21120	PEAC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Mar04	I
21120	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		Mar04	I
21120	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	1	090		Mar04	I
21120	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	10	3	090		Mar04	I
21120	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	24	12	090		Mar04	I
21120	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar04	I
21120	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	4	2	090		Mar04	I
21120	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar04	I
21120	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	10	090		Mar04	I
21120	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar04	I
21120	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
21120	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		090		Mar04	I
21121	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	I
21121	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Mar04	I
21121	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	I
21121	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Mar04	I
21121	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4.5	2.5	090		Mar04	I
21121	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5	090		Mar04	I
21121	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	5.5	3.5	090		Mar04	I
21121	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	4.5	3.5	090		Mar04	I
21121	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar04	I
21121	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		090		Mar04	I
21121	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	4.5	3.5	090		Mar04	I
21121	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4.5	3.5	090		Mar04	I
21121	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4.5	3.5	090		Mar04	I
21121	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Mar04	I
21121	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	I
21121	PEAC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Mar04	I
21121	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		Mar04	I
21121	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	1	090		Mar04	I
21121	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	10	3	090		Mar04	I
21121	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	24	12	090		Mar04	I
21121	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Mar04	I
21121	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	4	2	090		Mar04	I
21121	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar04	I
21121	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	10	090		Mar04	I
21121	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar04	I
21121	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
21121	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		090		Mar04	I
21122	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21122	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
21122	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21122	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21122	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21122	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21122	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21122	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21122	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090		Mar04	I
21122	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		1	090		Mar04	I
21122	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
21122	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026		12	090		Mar04	I
21122	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21122	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21123	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21123	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
21123	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21123	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21123	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21123	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21123	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21123	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21123	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090		Mar04	I
21123	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144		1	090		Mar04	I
21123	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
21123	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026		12	090		Mar04	I
21123	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21123	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21125	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21125	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
21125	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21125	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21125	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21125	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4	2	090		Aug03	6
21125	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21125	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090		Aug03	6
21125	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	10	8	090		Aug03	6
21125	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21125	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21125	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21125	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
21125	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	10		090		Aug03	6
21125	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	22	1		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	719	1		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	50	1		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD201	"screw, surgical, standard, 2.4mm x 14mm"	item	42	16		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	47	4		090		Aug03	6
21125	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21125	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21125	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21125	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21125	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21125	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21125	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21125	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	20		090		Aug03	6
21125	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21125	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
21125	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21125	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	5	4	090		Aug03	6
21125	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21125	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21127	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21127	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
21127	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11	1	1	090		Aug03	6
21127	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21127	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21127	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	8	2	090		Aug03	6
21127	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Aug03	6
21127	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090		Aug03	6
21127	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	10	8	090		Aug03	6
21127	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21127	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21127	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21127	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	2		090		Aug03	6
21127	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	20		090		Aug03	6
21127	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21127	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	22	1		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	719	1		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	50	1		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	74	16		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	47	4		090		Aug03	6
21127	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21127	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	2		090		Aug03	6
21127	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21127	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21127	PEAC	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	7.509	1		090		Aug03	6
21127	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
21127	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21127	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21127	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	6
21127	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
21127	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		090		Aug03	6
21127	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	40		090		Aug03	6
21127	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21127	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
21127	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	2		090		Aug03	6
21127	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	4		090		Aug03	6
21127	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	5	4	090		Aug03	6
21127	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	2		090		Aug03	6
21127	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21137	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21137	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21137	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21137	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21137	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21137	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21138	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21138	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21138	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21138	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21138	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21138	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21139	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21139	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21139	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21139	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21139	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21139	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21139	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21139	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21139	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21139	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21139	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21139	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21139	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21139	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21139	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21139	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21141	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21141	NPRM	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	21144		
21141	CMS WALK: BOTH SITES	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090	21144		
21141	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12	090	21144		
21141	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		24	090	21144		
21141	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090	21144		
21141	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090	21144		
21141	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090	21144		
21141	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090	21144		
21141	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090	21144		
21141	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090	21144		
21141	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090	21144		
21142	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21142	NPRM	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	21141		
21142	CMS WALK: BOTH SITES	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090	21141		
21142	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12	090	21141		
21142	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		24	090	21141		
21142	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090	21141		
21142	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090	21141		
21142	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090	21141		
21142	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090	21141		
21142	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090	21141		
21142	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090	21141		
21143	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Mar04	I
21143	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21143	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
21143	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
21143	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
21143	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
21143	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
21143	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
21143	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21143	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21145	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21145	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21145	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Apr06	J
21145	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090		Apr06	J
21145	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090		Apr06	J
21146	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
21146	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21146	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		7	090			
21146	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090		Apr06	
21146	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		7	090			
21147	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
21147	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21147	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		7	090		Apr06	J
21147	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090		Apr06	J
21147	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		7	090		Apr06	J
21150	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21150	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21150	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21150	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21150	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21150	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21150	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21150	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21150	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21150	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21150	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21151	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21151	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21151	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21151	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21151	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21151	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21151	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21151	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21151	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21151	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21151	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21154	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21154	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21154	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21154	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21154	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21154	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21154	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21154	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21154	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21154	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21154	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21155	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21155	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21155	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21155	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21155	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21155	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21155	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21155	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21155	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21155	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21155	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21159	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21159	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21159	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21159	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21159	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21159	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21159	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21159	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21159	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21159	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21159	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21160	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21160	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21160	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21160	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21160	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21160	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21160	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21160	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21160	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21160	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21160	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21172	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21172	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21172	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
21172	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		7	090			
21172	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090			
21172	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		28	090			
21172	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21172	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		21	090			
21172	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21172	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		420	090			
21172	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		7	090			
21175	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21175	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21175	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
21175	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		7	090			
21175	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090			
21175	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		28	090			
21175	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21175	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		21	090			
21175	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21175	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		420	090			
21175	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		7	090			
21179	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21179	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21179	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		7	090			
21179	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090			
21179	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		28	090			
21179	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21179	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		21	090			
21179	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21179	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		420	090			
21179	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		14	090			
21179	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		7	090			
21180	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21180	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21180	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		7	090			
21180	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090			
21180	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		28	090			
21180	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21180	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		21	090			
21180	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21180	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		420	090		Apr06	J
21180	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		14	090			
21180	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		7	090			
21181	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21181	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21181	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Apr06	J
21181	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Apr06	J
21181	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090		Apr06	J
21182	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21182	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21182	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21182	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Apr06	J
21182	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090		Apr06	J
21183	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21183	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21183	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21183	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Apr06	J
21183	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090		Apr06	J
21184	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21184	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21184	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21184	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Apr06	J
21184	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090		Apr06	J
21188	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21188	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21188	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21188	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21188	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21188	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21188	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21188	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21188	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21188	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21188	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21193	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21193	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21193	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21193	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Apr06	J
21193	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
21193	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		5	090		Apr06	J
21194	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21194	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21194	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21194	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Apr06	J
21194	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090		Apr06	J
21194	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090		Apr06	J
21195	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5.5	090		Mar04	I
21195	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21195	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21195	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21195	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21195	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21195	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21195	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Mar04	I
21195	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
21195	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21195	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21195	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008		1	090		Mar04	I
21195	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		10	090		Mar04	I
21195	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21195	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21195	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
21196	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5.5	090		Mar04	I
21196	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21196	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21196	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21196	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21196	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21196	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21196	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Mar04	I
21196	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
21196	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21196	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21196	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008		1	090		Mar04	I
21196	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		10	090		Mar04	I
21196	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21196	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21196	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
21198	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4.5	090		Mar04	I
21198	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21198	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21198	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21198	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21198	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21198	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21198	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21198	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21198	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21198	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21199	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038		3	090			
21199	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		3	090			
21199	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		3	090			
21206	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4.5	090		Mar04	I
21206	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21206	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21206	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21206	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21206	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21206	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21206	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21206	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21206	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21206	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21208	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21208	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
21208	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21208	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21208	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21208	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4	2	090		Aug03	6
21208	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21208	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21208	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21208	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21208	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21208	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21208	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
21208	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	10		090		Aug03	6
21208	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	22	1		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD189	"plate, surgical, mini-compression, 4 hole"	item	226	1		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	74	4		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	47	1		090		Aug03	6
21208	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21208	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21208	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21208	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21208	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21208	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21208	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21208	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	20		090		Aug03	6
21208	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21208	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
21208	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21208	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	6	5	090		Aug03	6
21208	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21208	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21209	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21209	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
21209	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21209	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21209	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21209	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4	2	090		Aug03	6
21209	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21209	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090		Aug03	6
21209	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	14	12	090		Aug03	6
21209	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21209	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21209	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21209	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
21209	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	10		090		Aug03	6
21209	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
21209	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21209	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21209	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21209	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21209	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21209	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21209	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21209	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21209	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21209	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21209	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	20		090		Aug03	6
21209	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21209	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
21209	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21209	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	7	6	090		Aug03	6
21209	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21209	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21210	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21210	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
21210	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11	1	1	090		Aug03	6
21210	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21210	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21210	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	8	2	090		Aug03	6
21210	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Aug03	6
21210	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21210	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21210	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21210	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21210	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21210	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	2		090		Aug03	6
21210	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	20		090		Aug03	6
21210	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21210	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		090		Aug03	6
21210	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21210	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21210	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21210	PEAC	"Accessory, Procedure"	SD190	"plate, surgical, mini-i, 16mm"	item	147	2		090		Aug03	6
21210	PEAC	"Accessory, Procedure"	SD196	"screw, surgical, auto-drive, 2.0mm x 4mm"	item	37	16		090		Aug03	6
21210	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21210	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	2		090		Aug03	6
21210	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21210	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21210	PEAC	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	7.509	1		090		Aug03	6
21210	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
21210	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21210	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21210	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	6
21210	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
21210	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		090		Aug03	6
21210	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	40		090		Aug03	6
21210	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21210	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
21210	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	2		090		Aug03	6
21210	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	4		090		Aug03	6
21210	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	6	5	090		Aug03	6
21210	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	2		090		Aug03	6
21210	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21215	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21215	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
21215	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11	1	1	090		Aug03	6
21215	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21215	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21215	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	8	2	090		Aug03	6
21215	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Aug03	6
21215	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21215	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21215	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21215	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21215	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21215	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	2		090		Aug03	6
21215	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	20		090		Aug03	6
21215	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21215	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	22	1		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	719	1		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	50	1		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	74	16		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	47	4		090		Aug03	6
21215	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21215	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	2		090		Aug03	6
21215	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21215	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21215	PEAC	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	7.509	1		090		Aug03	6
21215	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
21215	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21215	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21215	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	6
21215	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
21215	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		090		Aug03	6
21215	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	40		090		Aug03	6
21215	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21215	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
21215	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	2		090		Aug03	6
21215	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	4		090		Aug03	6
21215	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	6	5	090		Aug03	6
21215	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	2		090		Aug03	6
21215	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21230	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21230	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21230	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21230	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Apr06	J
21230	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090		Apr06	J
21230	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		3	090		Apr06	J
21235	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21235	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21235	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21235	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
21235	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
21235	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
21235	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
21235	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
21235	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
21235	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21235	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21235	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21235	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
21235	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
21235	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
21235	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
21235	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	6
21235	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
21235	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21235	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
21235	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
21240	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21240	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21240	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090		Apr06	J
21240	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090		Apr06	J
21242	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21242	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21242	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21242	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090		Apr06	J
21243	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		10	090		Apr06	J
21243	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21243	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21243	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		10	090		Apr06	J
21244	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21244	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21244	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21244	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
21244	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21244	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21244	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21244	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21244	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21244	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21244	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21245	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21245	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21245	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21245	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21245	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21245	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4	2	090		Aug03	6
21245	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21245	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21245	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21245	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21245	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21245	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21245	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
21245	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	10		090		Aug03	6
21245	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
21245	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21245	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21245	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21245	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21245	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21245	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21245	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21245	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090		Aug03	6
21245	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21245	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21245	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	20		090		Aug03	6
21245	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21245	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
21245	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21245	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	6	5	090		Aug03	6
21245	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21245	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21246	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
21246	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
21247	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
21247	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21247	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090		Apr06	J
21247	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		7	090		Apr06	J
21248	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21248	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
21248	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21248	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21248	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21248	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4	2	090		Aug03	6
21248	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21248	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090		Aug03	6
21248	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	10	8	090		Aug03	6
21248	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21248	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21248	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21248	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
21248	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	10		090		Aug03	6
21248	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
21248	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21248	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21248	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21248	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21248	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21248	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21248	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21248	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090		Aug03	6
21248	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21248	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21248	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	20		090		Aug03	6
21248	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21248	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
21248	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21248	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	5	4	090		Aug03	6
21248	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21248	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21249	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21249	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
21249	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21249	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21249	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21249	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4	2	090		Aug03	6
21249	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21249	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090		Aug03	6
21249	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	10	8	090		Aug03	6
21249	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21249	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21249	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	6
21249	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
21249	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	10		090		Aug03	6
21249	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
21249	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6		090		Aug03	6
21249	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
21249	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
21249	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
21249	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21249	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21249	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21249	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090		Aug03	6
21249	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		090		Aug03	6
21249	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21249	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	20		090		Aug03	6
21249	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Aug03	6
21249	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
21249	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21249	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	5	4	090		Aug03	6
21249	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21249	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Aug03	6
21255	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Mar04	I
21255	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21255	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21255	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21255	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21255	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21255	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21255	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21255	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21255	PEAC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539		1	090		Mar04	I
21255	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21255	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21255	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21256	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21256	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21256	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090		Apr06	J
21260	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21260	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21260	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21260	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21260	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21260	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21260	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21260	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
21260	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
21260	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
21260	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
21260	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
21260	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21260	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21260	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21260	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21260	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21260	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21260	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21261	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21261	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21261	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21261	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21261	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21261	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21261	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21261	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21261	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21261	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21261	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21261	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21261	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21261	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21261	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21261	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21261	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21261	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21261	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21263	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21263	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21263	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21263	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21263	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21263	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21263	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21263	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21263	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21263	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21263	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21263	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21263	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21263	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21263	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21263	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21263	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21263	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21263	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21267	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21267	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21267	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
21267	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21267	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21267	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21267	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21267	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21267	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21267	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21267	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21267	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21267	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21267	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21267	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21267	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21267	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21267	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21267	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21268	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21268	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21268	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21268	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21268	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21268	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21268	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21268	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
21268	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
21268	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
21268	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
21268	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
21268	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21268	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21268	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21268	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21268	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21268	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21268	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21270	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21270	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
21270	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21270	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
21270	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
21270	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
21270	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
21270	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
21270	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
21270	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21270	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21270	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21270	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
21270	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
21270	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
21270	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
21270	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	6
21270	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
21270	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21270	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
21270	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
21275	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21275	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21275	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090			
21275	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		10	090			
21275	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
21275	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21275	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		15	090			
21275	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21275	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		300	090			
21275	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		10	090			
21275	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		5	090			
21280	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21280	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21280	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			
21280	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090			
21280	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
21280	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21280	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
21280	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21280	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21280	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
21280	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21282	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21282	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21282	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			
21282	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090			
21282	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
21282	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21282	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
21282	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21282	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21282	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
21282	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21295	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
21295	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21295	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21295	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21295	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21295	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21296	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21296	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21296	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21296	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21296	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21296	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21296	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21296	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21296	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Mar04	I
21296	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090		Mar04	I
21296	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21296	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21310	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
21310	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		Feb05	
21310	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Feb05	
21310	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Feb05	
21310	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000		Feb05	
21310	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		000		Feb05	
21310	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2		000		Feb05	
21310	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000		Feb05	
21310	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2		000		Feb05	
21310	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		000		Feb05	
21310	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		Feb05	
21310	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Feb05	
21310	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000		Feb05	
21310	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Feb05	
21315	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	I
21315	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	010		Mar04	I
21315	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	010		Mar04	I
21315	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	1	010		Mar04	I
21315	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	010		Mar04	I
21315	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Mar04	I
21315	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	I
21315	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		010		Mar04	I
21315	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar04	I
21315	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar04	I
21315	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar04	I
21315	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		010		Mar04	I
21315	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		010		Mar04	I
21315	PEAC	"Wound Care, Dressings"	SG073	"splint, adhesive nasal (Denver)"	item	21.2	1		010		Mar04	I
21315	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	12		010		Mar04	I
21315	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010		Mar04	I
21315	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Mar04	I
21315	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	I
21315	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		010		Mar04	I
21315	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	I
21320	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	0.5	010		Mar04	I
21320	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1.5		010		Mar04	I
21320	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2.5	0.5	010		Mar04	I
21320	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2.5	0.5	010		Mar04	I
21320	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2.5	0.5	010		Mar04	I
21320	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Mar04	I
21320	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	I
21320	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		010		Mar04	I
21320	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1.5	0.5	010		Mar04	I
21320	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1.5	0.5	010		Mar04	I
21320	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1.5	0.5	010		Mar04	I
21320	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		010		Mar04	I
21320	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	I
21320	PEAC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		010		Mar04	I
21320	PEAC	"Wound Care, Dressings"	SG073	"splint, adhesive nasal (Denver)"	item	21.2	1		010		Mar04	I
21320	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010		Mar04	I
21320	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Mar04	I
21320	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	6		010		Mar04	I
21320	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	I
21320	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		010		Mar04	I
21320	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	I
21325	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21325	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21325	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21325	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21325	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21325	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21325	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21325	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21325	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21325	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21325	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21325	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21325	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21325	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21325	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21325	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21325	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21330	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21330	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21330	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21330	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21330	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21330	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21330	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21330	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21330	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21330	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21330	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21330	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21330	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21330	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21330	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21330	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21330	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21335	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21335	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21335	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21335	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21335	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21335	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21335	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21335	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21335	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21335	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21335	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21335	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21335	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21335	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21335	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21335	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21335	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21336	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
21336	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21336	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
21336	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21336	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21336	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21336	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21336	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21336	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21336	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21336	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21336	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21336	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21336	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21336	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21336	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21336	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21337	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21337	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
21337	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21337	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
21337	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
21337	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
21337	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
21337	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
21337	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
21337	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21337	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21337	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21337	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
21337	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
21337	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
21337	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
21337	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	6
21337	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
21337	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21337	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
21337	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
21338	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
21338	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21338	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21338	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21338	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21338	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21338	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21338	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21338	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21338	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21338	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21338	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21338	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21338	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21338	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21338	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21338	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21339	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
21339	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21339	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21339	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21339	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21339	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21339	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21339	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21339	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21339	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21339	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21339	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21339	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21339	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21339	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21339	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21339	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21340	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21340	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21343	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
21343	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21343	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
21343	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21343	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21343	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21343	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21343	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21343	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21343	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21343	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21343	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21343	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
21343	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
21343	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21343	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21343	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
21344	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
21344	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21344	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21344	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21344	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21344	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090		Mar04	I
21344	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		4	090		Mar04	I
21344	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21344	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21344	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008		4	090		Mar04	I
21344	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		20	090		Mar04	I
21344	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21344	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21344	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
21345	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21345	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21345	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21345	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
21345	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
21345	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
21345	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
21345	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
21345	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	3		090		Aug03	6
21345	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2		090		Aug03	6
21345	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	6
21345	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
21345	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
21345	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
21345	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
21346	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
21346	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
21346	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83		4	090		Aug03	6
21346	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Aug03	6
21346	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Aug03	6
21346	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33		4	090		Aug03	6
21346	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086		1	090		Aug03	6
21346	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Aug03	6
21346	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		4	090		Aug03	6
21346	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Aug03	6
21346	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Aug03	6
21346	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090		Aug03	6
21346	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Aug03	6
21346	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008		75	090		Aug03	6
21346	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		6	090		Aug03	6
21346	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408		8	090		Aug03	6
21346	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		10	090		Aug03	6
21346	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Aug03	6
21346	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074		4	090		Aug03	6
21346	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Aug03	6
21346	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090		Aug03	6
21347	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
21347	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21347	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21347	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21347	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21347	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090		Mar04	I
21347	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		4	090		Mar04	I
21347	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21347	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21347	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008		4	090		Mar04	I
21347	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		20	090		Mar04	I
21347	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21347	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21347	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
21348	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21348	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21348	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090		Apr06	J
21348	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
21348	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21348	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21355	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	I
21355	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	010		Mar04	I
21355	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar04	I
21355	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010		Mar04	I
21355	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	I
21355	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	I
21355	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	4		010		Mar04	I
21355	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Mar04	I
21355	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	I
21355	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		010		Mar04	I
21355	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar04	I
21355	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Mar04	I
21355	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar04	I
21355	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	I
21355	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar04	I
21355	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	I
21355	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	12		010		Mar04	I
21355	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Mar04	I
21355	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		Mar04	I
21355	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	I
21355	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		010		Mar04	I
21355	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar04	I
21355	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	I
21356	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	I
21356	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	010		Mar04	I
21356	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar04	I
21356	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010		Mar04	I
21356	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	010		Mar04	I
21356	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	1	010		Mar04	I
21356	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	4		010		Mar04	I
21356	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Mar04	I
21356	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	I
21356	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		010		Mar04	I
21356	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar04	I
21356	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar04	I
21356	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar04	I
21356	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	I
21356	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar04	I
21356	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	I
21356	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	12		010		Mar04	I
21356	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Mar04	I
21356	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010		Mar04	I
21356	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	I
21356	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		010		Mar04	I
21356	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar04	I
21356	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	I
21360	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Aug03	6
21360	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
21365	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
21365	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21365	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21365	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21366	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21366	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21366	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090		Apr06	J
21366	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Apr06	J
21366	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		300	090		Apr06	J
21366	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090		Apr06	J
21385	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21385	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21385	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21385	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
21385	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21385	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21385	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21385	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21385	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21386	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21386	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21386	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21386	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21387	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21387	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21387	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21387	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21387	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21387	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21387	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21387	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21387	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21387	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21387	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21390	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21390	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21390	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Apr06	J
21390	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			
21390	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090			
21390	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
21390	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21390	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
21390	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21390	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21390	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21395	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
21395	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21395	PERC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Apr06	J
21395	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			
21395	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090			
21395	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
21395	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21395	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
21395	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21395	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21395	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21400	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
21401	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21401	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
21401	PEAC	"Accessory, Procedure"	SD197	"screw, surgical, Carroll-Girard, 9cm x 3.75in"	item	92	1		090		Aug03	6
21406	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21406	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21406	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			
21406	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090			
21406	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
21406	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21406	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
21406	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21406	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21406	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
21406	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21407	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21407	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21407	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			
21407	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090			
21407	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
21407	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21407	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
21407	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21407	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21407	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
21407	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21408	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21408	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21408	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			
21408	CPEP	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090			
21408	CPEP	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
21408	CPEP	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		2	090			
21408	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
21408	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090			
21408	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
21408	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
21408	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21421	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	J
21421	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Mar04	J
21421	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	J
21421	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar04	J
21421	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar04	J
21421	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	6	5	090		Mar04	J
21421	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Mar04	J
21421	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	J
21421	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Mar04	J
21421	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Mar04	J
21421	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar04	J
21421	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Mar04	J
21421	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	6	5	090		Mar04	J
21421	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Mar04	J
21421	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Mar04	J
21421	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	6	5	090		Mar04	J
21421	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6	5	090		Mar04	J
21421	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	5	090		Mar04	J
21421	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	6	5	090		Mar04	J
21421	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Mar04	J
21421	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	120	90	090		Mar04	J
21421	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	13		090		Mar04	J
21421	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Mar04	J
21421	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	J
21421	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	14	12	090		Mar04	J
21421	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Mar04	J
21421	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Mar04	J
21421	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	6	5	090		Mar04	J
21421	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	7	6	090		Mar04	J
21421	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Mar04	J
21421	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	090		Mar04	J
21421	PEAC	Lab	SL152	acrylic tray-base material	oz	1.7746	1		090		Mar04	J
21422	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
21422	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21422	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21422	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21422	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21422	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21422	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21422	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21422	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21422	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21422	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21423	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
21423	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21423	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
21423	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
21423	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
21423	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
21423	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
21423	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21423	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21423	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21423	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
21431	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
21431	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83		4	090		Aug03	6
21431	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Aug03	6
21431	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Aug03	6
21431	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33		4	090		Aug03	6
21431	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086		1	090		Aug03	6
21431	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Aug03	6
21431	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		4	090		Aug03	6
21431	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Aug03	6
21431	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Aug03	6
21431	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090		Aug03	6
21431	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Aug03	6
21431	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008		75	090		Aug03	6
21431	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		6	090		Aug03	6
21431	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408		8	090		Aug03	6
21431	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		10	090		Aug03	6
21431	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Aug03	6
21431	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074		4	090		Aug03	6
21431	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Aug03	6
21431	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090		Aug03	6
21432	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
21432	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
21432	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
21432	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21432	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		1	090		Mar04	I
21432	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Mar04	I
21432	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
21432	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
21432	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
21432	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008		1	090		Mar04	I
21432	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		10	090		Mar04	I
21432	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
21432	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
21432	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
21433	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21433	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21433	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
21433	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090			
21433	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21435	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21435	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21435	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
21435	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090			
21435	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
21436	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21436	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21436	PERC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090		Apr06	J
21436	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
21436	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090			
21436	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		5	090			
21440	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21440	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
21440	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21440	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21440	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	4	4	090		Aug03	6
21440	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21440	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21440	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090		Aug03	6
21440	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	10	8	090		Aug03	6
21440	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21440	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21440	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	5	4	090		Aug03	6
21440	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
21440	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21440	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	5	4	090		Aug03	6
21440	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	5	4	090		Aug03	6
21440	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	5	4	090		Aug03	6
21440	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	5	4	090		Aug03	6
21440	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	5	4	090		Aug03	6
21440	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	6		090		Aug03	6
21440	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	2		090		Aug03	6
21440	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
21440	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21440	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	10	8	090		Aug03	6
21440	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
21440	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
21440	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	5	4	090		Aug03	6
21440	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	5	4	090		Aug03	6
21440	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21440	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		Aug03	6
21445	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21445	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
21445	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21445	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21445	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21445	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	4	4	090		Aug03	6
21445	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21445	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21445	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090		Aug03	6
21445	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	10	8	090		Aug03	6
21445	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21445	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21445	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	5	4	090		Aug03	6
21445	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
21445	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21445	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	5	4	090		Aug03	6
21445	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	5	4	090		Aug03	6
21445	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	5	4	090		Aug03	6
21445	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	5	4	090		Aug03	6
21445	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	5	4	090		Aug03	6
21445	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21445	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21445	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21445	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	2		090		Aug03	6
21445	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
21445	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21445	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	10	8	090		Aug03	6
21445	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
21445	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
21445	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	5	4	090		Aug03	6
21445	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	5	4	090		Aug03	6
21445	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21445	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		Aug03	6
21450	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21450	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
21450	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21450	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21450	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	4	4	090		Aug03	6
21450	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21450	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21450	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090		Aug03	6
21450	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	10	8	090		Aug03	6
21450	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21450	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21450	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	5	4	090		Aug03	6
21450	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Aug03	6
21450	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Aug03	6
21450	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	5	4	090		Aug03	6
21450	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	5	4	090		Aug03	6
21450	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	5	4	090		Aug03	6
21450	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	5	4	090		Aug03	6
21450	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	5	4	090		Aug03	6
21450	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Aug03	6
21450	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	120	90	090		Aug03	6
21450	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	12		090		Aug03	6
21450	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Aug03	6
21450	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21450	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	10	8	090		Aug03	6
21450	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Aug03	6
21450	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Aug03	6
21450	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	5	4	090		Aug03	6
21450	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	5	4	090		Aug03	6
21450	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21450	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	090		Aug03	6
21451	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21451	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21451	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21451	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21451	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	5	5	090		Aug03	6
21451	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21451	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21451	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21451	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21451	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21451	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21451	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	6	5	090		Aug03	6
21451	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Aug03	6
21451	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Aug03	6
21451	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	6	5	090		Aug03	6
21451	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6	5	090		Aug03	6
21451	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	5	090		Aug03	6
21451	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	6	5	090		Aug03	6
21451	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	6	5	090		Aug03	6
21451	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Aug03	6
21451	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	120	90	090		Aug03	6
21451	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	12		090		Aug03	6
21451	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Aug03	6
21451	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21451	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	12	10	090		Aug03	6
21451	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Aug03	6
21451	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Aug03	6
21451	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	6	5	090		Aug03	6
21451	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	6	5	090		Aug03	6
21451	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21451	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	090		Aug03	6
21452	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21452	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
21452	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21452	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21452	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21452	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	3	3	090		Aug03	6
21452	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21452	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21452	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	8	6	090		Aug03	6
21452	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	8	6	090		Aug03	6
21452	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21452	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21452	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	4	3	090		Aug03	6
21452	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
21452	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21452	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	4	3	090		Aug03	6
21452	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	4	3	090		Aug03	6
21452	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	3	090		Aug03	6
21452	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4	3	090		Aug03	6
21452	PEAC	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	3		090		Aug03	6
21452	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	4	3	090		Aug03	6
21452	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21452	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21452	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	6
21452	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
21452	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21452	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	8	6	090		Aug03	6
21452	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
21452	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
21452	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	4	3	090		Aug03	6
21452	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	4	3	090		Aug03	6
21452	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21452	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
21452	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		Aug03	6
21452	PEAC	Lab	SL152	acrylic tray-base material	oz	1.7746	5		090		Aug03	6
21453	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21453	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
21453	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21453	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21453	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	6	6	090		Aug03	6
21453	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21453	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21453	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090		Aug03	6
21453	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	14	12	090		Aug03	6
21453	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21453	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21453	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	7	6	090		Aug03	6
21453	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Aug03	6
21453	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Aug03	6
21453	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	7	6	090		Aug03	6
21453	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	7	6	090		Aug03	6
21453	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	7	6	090		Aug03	6
21453	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	7	6	090		Aug03	6
21453	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	7	6	090		Aug03	6
21453	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Aug03	6
21453	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	120	90	090		Aug03	6
21453	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	12		090		Aug03	6
21453	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Aug03	6
21453	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21453	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	14	12	090		Aug03	6
21453	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Aug03	6
21453	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Aug03	6
21453	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	7	6	090		Aug03	6
21453	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	7	6	090		Aug03	6
21453	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21453	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	090		Aug03	6
21454	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
21454	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21454	CPEP	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
21454	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
21454	CPEP	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		5	090			
21461	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21461	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
21461	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21461	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21461	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21461	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	6	6	090		Aug03	6
21461	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21461	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21461	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090		Aug03	6
21461	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	14	12	090		Aug03	6
21461	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21461	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21461	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	7	6	090		Aug03	6
21461	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
21461	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
21461	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	7	6	090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	7	6	090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	7	6	090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	7	6	090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	389	1		090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	29	1		090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	66	4		090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	47	1		090		Aug03	6
21461	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	7	6	090		Aug03	6
21461	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21461	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21461	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21461	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	6
21461	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21461	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
21461	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21461	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	14	12	090		Aug03	6
21461	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
21461	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
21461	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	7	6	090		Aug03	6
21461	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	7	6	090		Aug03	6
21461	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21461	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
21461	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		Aug03	6
21462	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21462	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	6
21462	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
21462	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21462	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21462	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	6	6	090		Aug03	6
21462	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21462	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21462	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090		Aug03	6
21462	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	14	12	090		Aug03	6
21462	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21462	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21462	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	7	6	090		Aug03	6
21462	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Aug03	6
21462	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Aug03	6
21462	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	7	6	090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	7	6	090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	7	6	090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	7	6	090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	389	1		090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	29	1		090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	66	4		090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	47	1		090		Aug03	6
21462	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	7	6	090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	90	90	090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
21462	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	12		090		Aug03	6
21462	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Aug03	6
21462	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21462	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	14	12	090		Aug03	6
21462	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Aug03	6
21462	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Aug03	6
21462	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	7	6	090		Aug03	6
21462	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	7	6	090		Aug03	6
21462	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21462	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
21462	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	090		Aug03	6
21465	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21465	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21465	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Apr06	J
21465	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090		Apr06	J
21465	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090		Apr06	J
21470	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21470	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21470	PERC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Apr06	J
21470	PERC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090		Apr06	J
21470	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090		Apr06	J
21480	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Sep04	
21480	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Sep04	
21480	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Sep04	
21480	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		000		Sep04	
21480	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Sep04	
21480	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Sep04	
21480	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Sep04	
21480	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		000		Sep04	
21480	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		000		Sep04	
21480	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Sep04	
21480	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	2		000		Sep04	
21480	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000		Sep04	
21480	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Sep04	
21480	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		Sep04	
21485	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21485	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21485	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21485	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21485	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	5	5	090		Aug03	6
21485	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21485	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21485	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21485	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21485	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21485	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
21485	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	6	5	090		Aug03	6
21485	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Aug03	6
21485	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Aug03	6
21485	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	6	5	090		Aug03	6
21485	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6	5	090		Aug03	6
21485	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	5	090		Aug03	6
21485	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	6	5	090		Aug03	6
21485	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	6	5	090		Aug03	6
21485	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Aug03	6
21485	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	120	90	090		Aug03	6
21485	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	12		090		Aug03	6
21485	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Aug03	6
21485	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
21485	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	12	10	090		Aug03	6
21485	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Aug03	6
21485	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Aug03	6
21485	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	6	5	090		Aug03	6
21485	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	6	5	090		Aug03	6
21485	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
21485	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	090		Aug03	6
21490	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
21490	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21490	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		6	090		Apr06	J
21495	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
21495	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
21495	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
21495	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
21495	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
21495	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
21495	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
21495	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
21495	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
21495	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		6	090		Mar04	I
21495	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
21495	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
21495	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
21495	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
21497	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
21497	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
21497	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
21497	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
21497	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	6	5	090		Aug03	6
21497	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
21497	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
21497	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090		Aug03	6
21497	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	12	10	090		Aug03	6
21497	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
21497	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	6	5	090		Aug03	6
21497	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2	1	090		Aug03	6
21497	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2	1	090		Aug03	6
21497	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	6	5	090		Aug03	6
21497	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	6	5	090		Aug03	6
21497	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	5	090		Aug03	6
21497	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	6	5	090		Aug03	6
21497	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	6	5	090		Aug03	6
21497	PEAC	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.66	12		090		Aug03	6
21497	PEAC	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.008	120	90	090		Aug03	6
21497	PEAC	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.128	12		090		Aug03	6
21497	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	12	6	090		Aug03	6
21497	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	6	5	090		Aug03	6
21497	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20	10	090		Aug03	6
21497	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4	2	090		Aug03	6
21497	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	6	5	090		Aug03	6
21497	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	6	5	090		Aug03	6
21497	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	1	090		Aug03	6
21501	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	19
21501	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Jan04	19
21501	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	19
21501	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	19
21501	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	19
21501	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Jan04	19
21501	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	5		090		Jan04	19
21501	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Jan04	19
21501	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	19
21501	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	19
21501	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Jan04	19
21501	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		090		Jan04	19
21501	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		090		Jan04	19
21501	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Jan04	19
21501	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		090		Jan04	19
21501	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	19
21501	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	19
21501	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Jan04	19
21501	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	19
21501	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Jan04	19
21501	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	3		090		Jan04	19
21501	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Jan04	19
21501	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090		Jan04	19
21501	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		090		Jan04	19
21501	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Jan04	19
21501	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		Jan04	19
21501	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Jan04	19
21501	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Jan04	19
21501	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Jan04	19
21501	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	40		090		Jan04	19
21501	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	19
21501	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Jan04	19
21501	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		Jan04	19
21502	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
21502	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21510	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
21510	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21550	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
21550	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
21550	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
21550	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
21550	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
21550	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
21550	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
21550	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
21550	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		010			
21550	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
21550	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
21550	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
21550	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
21550	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
21550	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
21550	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
21550	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
21550	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
21550	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
21550	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
21550	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	3		010			
21550	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
21550	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		010			
21550	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
21550	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
21550	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
21550	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
21550	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
21552	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
21552	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21554	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
21554	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21555	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
21555	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
21555	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
21555	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
21555	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT10	rv
21555	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT10	rv
21555	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
21555	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
21555	PEAC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	rv
21555	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	rv
21555	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
21555	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
21555	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
21555	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
21555	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
21555	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
21555	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		CPT10	rv
21555	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
21555	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		090		CPT10	rv
21555	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
21555	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	rv
21555	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
21555	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
21555	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
21556	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
21556	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
21557	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
21557	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
21558	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
21558	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
21600	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21610	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21610	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
21615	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
21615	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21616	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
21616	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21620	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
21620	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21627	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
21627	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21630	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
21630	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21632	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
21632	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21685	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
21685	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090			
21685	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090			
21685	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090			
21685	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
21685	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090			
21685	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		1	090			
21685	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
21685	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
21685	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090			
21685	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		6	090			
21685	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090			
21685	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090			
21685	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		4	090			
21685	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090			
21700	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	U
21700	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	U
21705	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
21705	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21720	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	U
21720	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	U
21725	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21725	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21740	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
21740	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21750	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
21750	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21805	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
21805	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
21820	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	5
21825	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
21825	CPEP	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
21920	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
21920	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
21920	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
21920	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
21920	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
21920	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
21920	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
21920	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
21920	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		010			
21920	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
21920	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
21920	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
21920	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
21920	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
21920	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
21920	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
21920	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
21920	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
21920	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
21920	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
21920	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	3		010			
21920	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
21920	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		010			
21920	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010			
21920	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
21920	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
21920	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
21920	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
21925	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
21925	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
21925	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
21925	PEAC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	5
21925	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	5
21925	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	5
21925	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	5
21925	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	5
21925	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	5
21925	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	5
21925	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
21925	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
21925	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	5
21925	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	5
21925	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
21925	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		090		Aug03	5
21925	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
21925	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	5
21925	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
21925	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	5
21925	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	5
21930	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
21930	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
21930	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
21930	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
21930	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
21930	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	rv
21930	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
21930	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
21930	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
21930	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090		CPT10	rv
21930	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	rv
21930	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
21930	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
21930	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
21930	PEAC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	rv
21930	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	rv
21930	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
21930	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
21930	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
21930	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
21930	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	rv
21930	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		CPT10	rv
21930	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
21930	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090		CPT10	rv
21930	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		CPT10	rv
21930	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
21930	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		090		CPT10	rv
21930	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
21930	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
21930	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT10	rv
21930	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
21930	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
21930	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
21931	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
21931	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21932	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
21932	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21933	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
21933	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
21935	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
21935	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
21936	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
21936	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
22010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		RUC05	
22010	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
22015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		RUC05	
22015	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
22100	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
22100	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22101	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
22101	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22102	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
22102	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22110	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
22110	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22112	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
22112	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22114	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
22114	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22206	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	8
22206	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT08	8
22207	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	8
22207	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT08	8
22210	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22210	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22212	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22212	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22214	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22214	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22220	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22220	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22222	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22222	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22224	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22224	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22305	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Jan04	5
22310	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Jan04	5
22315	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Jan04	5
22315	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	090		Jan04	5
22315	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		090		Jan04	5
22315	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		090		Jan04	5
22315	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	5		090		Jan04	5
22318	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	63075		
22318	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	63075		
22319	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	22548		
22319	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	22548		
22325	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22325	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22325	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
22326	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
22326	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22326	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
22327	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
22327	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22327	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
22510		"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	696	1		010	22520	May 2014	May 4
22510	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010	22520	May 2014	May 4
22510		"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010	22520	May 2014	May 4
22510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010	22520	May 2014	May 4
22510	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		010	22520	May 2014	May 4
22510	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010	22520	May 2014	May 4
22510	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010	22520	May 2014	May 4
22510	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	22520	May 2014	May 4
22510	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010	22520	May 2014	May 4
22510	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010	22520	May 2014	May 4
22510	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	2		010	22520	May 2014	May 4
22510	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010	22520	May 2014	May 4
22510	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010	22520	May 2014	May 4
22510	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010	22520	May 2014	May 4
22510	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010	22520	May 2014	May 4
22510		"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	72.5	1		010	22520	May 2014	May 4
22510		"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	75.645	1		010	22520	May 2014	May 4
22510	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010	22520	May 2014	May 4
22510		"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010	22520	May 2014	May 4
22510	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010	22520	May 2014	May 4
22511	RUC	"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	696	1		010	22521	May 2014	May 4
22511	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010	22521	May 2014	May 4
22511	RUC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010	22521	May 2014	May 4
22511	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010	22521	May 2014	May 4
22511	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		010	22521	May 2014	May 4
22511	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010	22521	May 2014	May 4
22511	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010	22521	May 2014	May 4
22511	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	22521	May 2014	May 4
22511	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010	22521	May 2014	May 4
22511	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010	22521	May 2014	May 4
22511	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	2		010	22521	May 2014	May 4
22511	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010	22521	May 2014	May 4
22511	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010	22521	May 2014	May 4
22511	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010	22521	May 2014	May 4
22511	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010	22521	May 2014	May 4
22511	RUC	"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	72.5	1		010	22521	May 2014	May 4
22511	RUC	"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	75.645	1		010	22521	May 2014	May 4
22511	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010	22521	May 2014	May 4
22511	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010	22521	May 2014	May 4
22511	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010	22521	May 2014	May 4
22512	Invoice		SD292	10g IVAS drill		139.33	1		ZZZ	22522	May 2014	May 4
22512	Invoice		SD293	10g cannulae		86.11	2		ZZZ	22522	May 2014	May 4
22512		"Pharmacy, Rx"	SH100	Bone cement with mixer	item	210	1		ZZZ	22522	May 2014	May 4
22513	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010	22523	May 2014	May 4
22513	RUC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010	22523	May 2014	May 4
22513	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010	22523	May 2014	May 4
22513	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1		010	22523	May 2014	May 4
22513		"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3925	1		010	22523	May 2014	May 4
22513	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		010	22523	May 2014	May 4
22513	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010	22523	May 2014	May 4
22513	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010	22523	May 2014	May 4
22513	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	22523	May 2014	May 4
22513	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010	22523	May 2014	May 4
22513	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010	22523	May 2014	May 4
22513	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	2		010	22523	May 2014	May 4
22513	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010	22523	May 2014	May 4
22513	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010	22523	May 2014	May 4
22513		"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	140	1		010	22523	May 2014	May 4
22513	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010	22523	May 2014	May 4
22513	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010	22523	May 2014	May 4
22513	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010	22523	May 2014	May 4
22513	RUC	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	210	1		010	22523	May 2014	May 4
22513	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010	22523	May 2014	May 4
22513	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010	22523	May 2014	May 4
22514	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010	22524	May 2014	May 4
22514	RUC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010	22524	May 2014	May 4
22514	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010	22524	May 2014	May 4
22514	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1		010	22524	May 2014	May 4
22514	RUC	"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3925	1		010	22524	May 2014	May 4
22514	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		010	22524	May 2014	May 4
22514	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010	22524	May 2014	May 4
22514	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010	22524	May 2014	May 4
22514	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	22524	May 2014	May 4
22514	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010	22524	May 2014	May 4
22514	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010	22524	May 2014	May 4
22514	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010	22524	May 2014	May 4
22514	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010	22524	May 2014	May 4
22514	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010	22524	May 2014	May 4
22514	RUC	"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	140	1		010	22524	May 2014	May 4
22514	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010	22524	May 2014	May 4
22514	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010	22524	May 2014	May 4
22514	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010	22524	May 2014	May 4
22514	RUC	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	210	1		010	22524	May 2014	May 4
22514	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010	22524	May 2014	May 4
22514	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010	22524	May 2014	May 4
22515		"Kit, Pack, Tray"	SA112	"Kyphoplasty kit, additional fracture"	kit	2595	1		ZZZ	22525	May 2014	May 4
22526	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
22526	RUC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010			
22526	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT07	
22526	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		010		Jan04	5
22526	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010			
22526	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Jan04	5
22526	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Jan04	5
22526	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010			
22526	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010		Jan04	5
22526	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010		Jan04	5
22526	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT07	
22526	RUC	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1		010			
22526	RUC	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1		010			
22526	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT07	
22526	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT07	
22526	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		CPT07	
22526	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010		Jan04	5
22526	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		010			
22526	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Jan04	5
22527	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ		Jan04	5
22527	RUC	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1		ZZZ			
22527	RUC	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1		ZZZ			
22527	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		ZZZ			
22532	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22532	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
22533	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22533	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
22548	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22548	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22551	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	22554	CPT11	26
22551	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090	22554	CPT11	26
22554	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
22554	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22556	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22556	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22558	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22558	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22586	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	22857	CPT13	CMS
22586	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090	22857	CPT13	CMS
22590	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22590	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22595	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22595	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22600	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22610	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22610	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22612	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
22612	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22630	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22630	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22633	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	May 3
22633	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 3
22800	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22800	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22802	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22802	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22804	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22804	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22808	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22808	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22810	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22810	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22812	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
22812	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22818	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
22818	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22819	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
22819	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22830	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
22830	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
22849	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
22849	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22849	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
22850	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
22850	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22850	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
22852	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
22852	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22852	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
22855	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
22855	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
22855	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
22856	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	22856	May 2014	May 5
22856	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	22856	May 2014	May 5
22857	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
22857	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
22861	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	4
22861	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	4
22862	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
22862	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
22864	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	4
22864	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	4
22865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
22865	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
22900	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
22900	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
22901	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
22901	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
22902	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	27
22902	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	27
22902	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	27
22902	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	27
22902	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	27
22902	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	27
22902	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	27
22902	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	27
22902	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	27
22902	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090		CPT10	27
22902	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	27
22902	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	27
22902	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	27
22902	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	27
22902	RUC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	27
22902	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	27
22902	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	27
22902	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	27
22902	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	27
22902	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	27
22902	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	27
22902	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		CPT10	27
22902	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	27
22902	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090		CPT10	27
22902	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		CPT10	27
22902	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	27
22902	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		090		CPT10	27
22902	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	27
22902	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	27
22902	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT10	27
22902	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	27
22902	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	27
22902	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	27
22903	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
22903	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
22904	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
22904	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
22905	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
22905	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
23000	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
23000	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
23000	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
23000	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
23000	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
23000	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
23000	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
23000	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23000	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23000	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
23000	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
23000	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
23000	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
23000	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
23000	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
23000	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
23000	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
23000	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23000	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
23000	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
23000	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
23000	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
23020	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23020	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23030	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
23030	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
23030	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
23030	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Mar03	6
23030	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		010		Mar03	6
23030	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
23030	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
23030	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
23030	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
23030	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
23030	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
23030	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	6
23030	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
23030	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
23030	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Mar03	6
23030	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
23030	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
23030	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
23030	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
23030	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
23030	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
23031	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
23031	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
23031	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
23031	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Mar03	6
23031	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		010		Mar03	6
23031	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
23031	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
23031	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
23031	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
23031	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
23031	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
23031	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	6
23031	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
23031	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
23031	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
23031	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
23031	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Mar03	6
23031	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
23031	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
23031	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
23031	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
23031	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
23031	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
23035	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23035	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23040	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23040	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23044	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23044	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23065	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
23065	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	0.5	010		Mar03	6
23065	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
23065	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
23065	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
23065	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
23065	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
23065	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
23065	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
23065	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
23065	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
23065	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
23066	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
23066	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
23066	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
23066	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
23066	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
23066	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
23066	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
23066	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23066	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23066	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
23066	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
23066	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
23066	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
23066	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
23066	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
23066	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
23066	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
23066	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23066	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
23066	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
23066	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
23066	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
23071	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
23071	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
23073	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
23073	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
23075	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	27
23075	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	27
23075	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	27
23075	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	27
23075	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	27
23075	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT10	27
23075	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	27
23075	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	27
23075	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	27
23075	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090		CPT10	27
23075	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT10	27
23075	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	27
23075	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	27
23075	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	27
23075	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT10	27
23075	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT10	27
23075	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	27
23075	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	27
23075	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	27
23075	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	27
23075	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	27
23075	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	27
23075	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	27
23075	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	27
23075	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	27
23075	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		090		CPT10	27
23075	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	27
23075	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		CPT10	27
23075	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	27
23075	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	27
23075	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	27
23075	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	27
23075	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	27
23075	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	27
23076	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
23076	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
23077	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
23077	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
23078	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
23078	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
23100	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23100	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23101	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
23101	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23105	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23105	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23106	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23106	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23107	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23107	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23120	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr08	ss
23120	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			ss
23125	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23125	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23130	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23130	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23140	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23140	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23145	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23145	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23146	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23146	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23150	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23150	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23155	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23155	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23156	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23156	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23170	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23170	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23172	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23172	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23174	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23174	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23180	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23180	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23182	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23182	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23184	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23184	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23190	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23190	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23195	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23195	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
23200	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
23210	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
23210	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
23220	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
23220	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
23330	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
23330	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
23330	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
23330	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
23330	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
23330	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
23330	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	6
23330	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
23330	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
23330	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
23330	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
23330	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
23330	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
23330	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
23330	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
23330	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
23330	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
23330	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
23330	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
23330	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar03	6
23330	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
23333	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT14	May 3
23333	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT14	May 3
23334	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT14	May 3
23334	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT14	May 3
23335	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT14	May 3
23335	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT14	May 3
23350	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Mar04	R
23350	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar04	R
23350	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	R
23350	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Mar04	R
23350	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Mar04	R
23395	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23395	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23397	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23397	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23400	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23400	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23405	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23405	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23406	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23406	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23410	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23410	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23412	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23412	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23415	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23415	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23420	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23420	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23430	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23430	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23440	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23440	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23450	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23450	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23455	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23455	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23460	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23460	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23462	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23462	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23465	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23465	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23466	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23466	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23470	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
23470	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
23472	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT13	May 2
23472	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 2
23473	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT13	May 2
23473	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 2
23474	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT13	May 2
23474	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 2
23480	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23480	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23485	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23485	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23490	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23490	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23491	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23491	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23500	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
23505	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
23505	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23505	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23505	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23515	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
23515	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
23520	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
23525	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
23525	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23525	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23525	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23530	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23530	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23532	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23532	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23540	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
23545	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
23545	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23545	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23545	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23550	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23550	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23552	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23552	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23570	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
23570	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
23575	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
23575	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
23575	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23575	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23575	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
23600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	4	090		CPT13	MD Time
23600	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		CPT13	MD Time
23600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		CPT13	MD Time
23600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT13	MD Time
23605	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
23605	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
23605	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
23605	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
23605	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23605	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23605	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
23615	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
23616	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
23616	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
23620	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
23625	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
23625	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23625	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23625	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
23630	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
23650	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
23650	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23650	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23650	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23655	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23660	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23660	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23665	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
23665	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23665	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23665	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23670	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
23670	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
23675	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
23675	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
23675	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
23675	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
23675	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
23675	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
23680	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
23680	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
23700	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar03	6
23800	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23800	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23802	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23802	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23900	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
23900	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23920	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23920	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
23921	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	5
23921	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
23930	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
23930	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
23930	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
23930	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
23930	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		010		Mar03	6
23930	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
23930	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
23930	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
23930	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
23930	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
23930	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
23930	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	6
23930	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
23930	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
23930	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	3		010		Mar03	6
23930	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		010		Mar03	6
23930	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
23930	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
23930	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar03	6
23930	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Mar03	6
23930	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
23930	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
23930	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
23930	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
23930	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
23930	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
23931	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
23931	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
23931	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
23931	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
23931	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		010		Mar03	6
23931	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
23931	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
23931	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
23931	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
23931	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
23931	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
23931	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
23931	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
23931	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
23931	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		010		Mar03	6
23931	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
23931	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
23931	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010		Mar03	6
23931	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
23931	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
23931	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
23931	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
23931	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
23931	PEAC	Lab	SL146	tubed culture media	item	0.849	1		010		Mar03	6
23935	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
23935	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24000	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
24000	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24006	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24006	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24065	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
24065	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
24065	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
24065	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
24065	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
24065	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
24065	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
24065	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
24065	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
24065	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
24065	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
24065	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
24065	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
24065	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
24065	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
24065	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
24065	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
24066	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
24066	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
24066	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
24066	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
24066	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
24066	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
24066	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
24066	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24066	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24066	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
24066	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
24066	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
24066	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
24066	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
24066	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
24066	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
24066	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
24066	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
24066	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24066	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
24066	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
24066	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
24066	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
24071	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
24071	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
24073	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
24073	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
24075	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
24075	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
24075	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
24075	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
24075	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
24075	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT10	rv
24075	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
24075	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
24075	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
24075	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
24075	PEAC	"Hypodermic, IV"	SC003	arm board	item	0.598	1		090		CPT10	rv
24075	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT10	rv
24075	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
24075	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
24075	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
24075	PEAC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	rv
24075	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT10	rv
24075	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT10	rv
24075	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
24075	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
24075	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
24075	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
24075	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	rv
24075	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		090		CPT10	rv
24075	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	rv
24075	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	rv
24075	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	rv
24075	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
24075	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
24075	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		090		CPT10	rv
24075	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
24075	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		CPT10	rv
24075	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
24075	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
24075	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	rv
24075	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
24075	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
24075	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
24076	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
24076	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
24077	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
24077	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
24079	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
24079	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
24100	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
24100	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24101	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24101	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24102	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24102	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24105	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24105	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24110	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24110	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24115	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24115	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24116	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24116	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24120	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24120	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24125	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24125	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24126	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24126	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24130	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24130	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24134	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24134	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24136	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24136	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24138	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
24138	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24140	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24140	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24145	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24145	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24147	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24147	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24149	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
24149	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24150	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
24150	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
24152	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
24152	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
24155	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24155	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT14	May 4
24160	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT14	May 4
24164	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT14	May 4
24164	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT14	May 4
24200	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
24200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
24200	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
24200	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
24200	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
24200	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
24200	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
24200	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
24200	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
24200	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
24200	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
24200	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
24200	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
24200	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
24200	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
24200	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
24200	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
24201	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
24201	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
24201	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
24201	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
24201	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
24201	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
24201	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
24201	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24201	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24201	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
24201	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
24201	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
24201	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
24201	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
24201	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
24201	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
24201	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
24201	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
24201	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24201	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
24201	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
24201	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
24201	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
24220	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Jan04	7
24220	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Jan04	7
24220	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	7
24220	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Jan04	7
24220	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Jan04	7
24300	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
24300	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24301	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24301	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24305	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24305	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24310	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
24310	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24320	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24320	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24330	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24330	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24331	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24331	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24332	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24332	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24340	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24340	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24341	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24341	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24342	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24342	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24343	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24343	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24344	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
24344	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24345	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24345	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24346	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
24346	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24357	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	10
24357	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	10
24358	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	10
24358	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	10
24359	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	10
24359	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	10
24360	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24360	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24361	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24361	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24362	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24362	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24363	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT13	May 3
24363	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 3
24365	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24365	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24366	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24366	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24370	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT13	May 3
24370	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 3
24371	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT13	May 3
24371	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 3
24400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24400	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24410	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24410	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24420	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24420	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24420	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		36	090			
24420	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		720	090			
24420	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		60	090			
24420	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090			
24430	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24430	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24435	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24435	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24470	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24470	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24495	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
24495	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24495	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		5	090			
24495	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		5	090			
24495	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
24495	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		5	090			
24495	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
24495	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		10	090			
24495	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		900	090			
24495	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		380	090			
24495	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		10	090			
24498	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24498	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24500	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
24500	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24500	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24500	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24505	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
24505	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24505	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24505	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24505	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24505	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24505	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24515	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24515	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24516	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24516	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24530	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
24530	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24530	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24530	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24535	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	5
24535	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24535	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24535	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24535	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24535	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24535	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24538	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
24538	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24538	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	090			
24538	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
24538	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
24538	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
24538	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		2	090			
24538	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
24538	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		76	090			
24538	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
24545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
24545	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
24546	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
24546	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
24560	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
24560	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24560	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24560	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24565	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
24565	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24565	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24565	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24565	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24565	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24565	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24566	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24566	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
24566	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			
24566	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
24566	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
24566	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
24566	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			
24566	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
24566	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
24566	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
24566	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
24566	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			
24566	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			
24566	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
24575	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
24575	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
24576	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
24576	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24576	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24576	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24577	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
24577	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24577	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24577	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24577	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24577	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24577	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24579	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	9*
24579	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	9*
24582	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24582	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
24582	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			
24582	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
24582	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
24582	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
24582	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			
24582	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
24582	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
24582	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
24582	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
24582	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			
24582	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			
24582	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
24586	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24586	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
24587	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24587	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
24600	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24600	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24600	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24605	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24615	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24615	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24620	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24635	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
24635	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
24640	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
24640	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	1		010		Mar03	6
24640	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		010		Mar03	6
24640	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	1		010		Mar03	6
24640	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	60		010		Mar03	6
24650	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
24650	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24650	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24650	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24655	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
24655	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24655	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24655	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24655	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24655	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24655	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24665	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24665	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24665	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
24665	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
24666	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
24666	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24666	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
24666	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
24670	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
24670	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24670	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24670	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24675	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
24675	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
24675	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
24675	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
24675	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
24675	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
24675	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
24685	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
24685	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
24685	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
24685	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
24800	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24800	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24802	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24802	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24900	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
24900	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24920	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24920	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24925	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24925	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24930	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24930	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24931	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
24931	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
24935	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
24935	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
24935	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		36	090			
24935	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		720	090			
24935	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		60	090			
24935	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090			
25000	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25000	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25001	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
25001	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25020	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
25020	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25020	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		5	090			
25020	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		5	090			
25020	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
25020	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		5	090			
25020	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
25020	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		10	090			
25020	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		900	090			
25020	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		380	090			
25020	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		10	090			
25023	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		7	090			
25023	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25023	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		7	090			
25023	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		7	090			
25023	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		7	090			
25023	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		7	090			
25023	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090			
25023	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		14	090			
25023	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		1260	090			
25023	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		530	090			
25023	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		14	090			
25024	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25024	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25025	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25025	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25028	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
25028	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25028	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		5	090			
25028	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		5	090			
25028	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
25028	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		5	090			
25028	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
25028	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		10	090			
25028	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		900	090			
25028	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		380	090			
25028	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		10	090			
25031	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25031	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25035	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25035	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25040	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25040	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25065	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
25065	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
25065	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
25065	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
25065	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
25065	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
25065	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
25065	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
25065	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
25065	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
25065	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
25065	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
25065	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
25065	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
25065	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
25065	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
25065	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
25065	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
25066	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25066	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25071	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
25071	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
25073	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
25073	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
25075	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
25075	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
25075	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
25075	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
25075	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
25075	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT10	rv
25075	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
25075	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
25075	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
25075	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
25075	PEAC	"Hypodermic, IV"	SC003	arm board	item	0.598	1		090		CPT10	rv
25075	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT10	rv
25075	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
25075	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
25075	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
25075	PEAC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	rv
25075	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT10	rv
25075	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT10	rv
25075	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
25075	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
25075	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
25075	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
25075	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	rv
25075	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		090		CPT10	rv
25075	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	rv
25075	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	rv
25075	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	rv
25075	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
25075	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
25075	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		090		CPT10	rv
25075	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
25075	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		CPT10	rv
25075	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
25075	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
25075	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	rv
25075	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
25075	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
25075	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
25076	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
25076	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
25077	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
25077	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
25078	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
25078	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
25085	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25085	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25100	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25100	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25101	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25101	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25105	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25105	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25107	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25107	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25109	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
25109	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT07	
25110	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25110	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25111	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25111	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25112	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25112	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25115	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25115	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25116	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr08	ss
25116	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			ss
25118	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25118	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25119	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25119	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25120	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25120	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25125	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25125	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25126	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25126	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25130	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25130	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25135	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25135	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25136	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25136	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25145	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25145	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25150	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25150	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25151	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25151	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25170	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
25170	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
25210	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25210	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25215	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25215	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25230	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25230	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25240	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25240	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25246	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Jan04	7
25246	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Jan04	7
25246	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	7
25246	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Jan04	7
25246	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Jan04	7
25248	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25248	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25250	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25250	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25251	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25251	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25259	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
25259	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25260	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25260	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25263	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25263	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25265	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25265	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25270	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25270	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25272	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25272	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25274	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25274	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25275	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25280	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25280	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25290	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
25290	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25295	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25295	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25300	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25300	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25301	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25301	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25310	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25310	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25312	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25312	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25315	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25315	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25316	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25316	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25320	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25320	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25332	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25332	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25335	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25335	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25337	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25337	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25350	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25350	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25355	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25355	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25360	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25360	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25365	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25365	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25370	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
25370	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25375	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25375	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25390	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25390	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25391	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25391	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25392	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25392	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25393	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25393	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25394	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25394	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25400	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25400	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25405	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25405	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25415	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25415	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25420	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25420	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25425	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25425	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25426	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25426	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25430	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25430	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25431	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25431	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25440	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25440	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25441	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25441	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25442	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25442	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25443	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25443	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25444	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25444	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25445	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25445	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25446	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25446	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25447	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25447	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25449	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
25449	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25450	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25450	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25455	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25455	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25490	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25490	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25491	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25491	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25492	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25492	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25500	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
25500	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25500	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25500	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25505	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	5
25505	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25505	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25505	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25505	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
25505	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
25505	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
25515	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
25515	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
25520	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	5
25520	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25520	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25520	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	11
25525	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
25526	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	11
25526	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
25530	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
25530	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25530	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25530	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25535	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
25535	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25535	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25535	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25535	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
25535	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
25535	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
25545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
25545	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
25560	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
25560	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25560	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25560	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25565	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
25565	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25565	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25565	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25565	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
25565	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
25565	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
25574	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
25574	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
25575	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	11
25575	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	11
25600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		CPT12	5 Year
25600	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25600	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25600	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		CPT12	5 Year
25605	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25605	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25605	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25605	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
25605	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
25605	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
25606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT07	
25607	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT07	
25608	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT07	
25609	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		CPT07	
25622	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
25622	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25622	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25622	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25624	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	5
25624	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25624	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25624	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25624	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
25624	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
25624	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
25628	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
25628	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
25630	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
25630	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25630	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25630	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25635	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
25635	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25635	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25635	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25635	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
25635	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
25635	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
25645	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25645	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25650	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
25650	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25650	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25650	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25651	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25651	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25652	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25652	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25660	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25670	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25670	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25671	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
25671	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
25675	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
25675	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
25675	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
25675	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
25675	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
25675	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
25675	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
25676	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25676	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25680	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25685	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25685	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25690	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25695	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25695	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25800	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25800	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25805	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25805	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25810	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25810	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25820	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25820	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25820	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
25820	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
25820	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
25820	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
25820	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
25820	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
25820	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
25820	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
25820	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
25825	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25825	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25825	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
25825	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
25825	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
25825	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
25825	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
25825	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
25825	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
25825	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
25825	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
25830	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25830	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25830	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
25830	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
25830	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
25830	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
25830	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
25830	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
25830	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
25830	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		0.083	090			
25830	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
25830	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		62	090			
25830	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		2	090			
25830	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			
25830	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
25830	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		172	090			
25830	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
25900	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
25900	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25905	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25905	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25907	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25907	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25909	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25909	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
25915	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25920	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25920	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25920	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
25920	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
25920	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
25920	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
25920	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
25920	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
25920	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
25920	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
25920	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
25922	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25922	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25922	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
25922	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
25922	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
25922	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
25922	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
25922	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
25922	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
25922	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
25922	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
25924	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25924	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25924	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
25924	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
25924	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
25924	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
25924	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
25924	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
25924	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
25924	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
25924	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
25927	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25927	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25927	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
25927	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
25927	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
25927	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
25927	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
25927	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
25927	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
25927	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
25927	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
25927	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
25927	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
25927	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
25927	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
25927	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
25929	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25929	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25931	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
25931	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
25931	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
25931	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
25931	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
25931	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
25931	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
25931	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
25931	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
25931	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
25931	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
25931	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
25931	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
25931	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
25931	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
25931	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26010	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
26010	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
26010	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	010			
26010	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
26010	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
26010	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
26010	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	6		010			
26010	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
26010	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
26010	PEAC	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	2.902	5		010			
26010	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
26010	PEAC	"Gown, Drape"	SB038	safety glasses	item	2.902	2		010			
26010	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
26010	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010			
26010	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
26010	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
26010	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010			
26010	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
26010	PEAC	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.644	2	1	010			
26010	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		010			
26010	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	1	010			
26010	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	1		010			
26010	PEAC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	1		010			
26010	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	12	6	010			
26010	PEAC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023	1		010			
26010	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
26010	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	010			
26010	PEAC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	5		010			
26010	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		010			
26010	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
26010	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010			
26010	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
26010	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
26010	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10	10	010			
26010	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	130	10	010			
26010	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	120		010			
26010	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010			
26010	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
26010	PEAC	Lab	SL146	tubed culture media	item	0.849	4		010			
26010	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
26011	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
26011	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
26011	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2	1	010			
26011	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010			
26011	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
26011	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
26011	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	6		010			
26011	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
26011	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
26011	PEAC	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	2.902	5		010			
26011	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		010			
26011	PEAC	"Gown, Drape"	SB038	safety glasses	item	2.902	2		010			
26011	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
26011	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010			
26011	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
26011	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
26011	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010			
26011	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
26011	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		010			
26011	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010			
26011	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010			
26011	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
26011	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
26011	PEAC	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.644	2	1	010			
26011	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		010			
26011	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	1	010			
26011	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	1		010			
26011	PEAC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	1		010			
26011	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	12	6	010			
26011	PEAC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023	1		010			
26011	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
26011	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	010			
26011	PEAC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	5		010			
26011	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		010			
26011	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
26011	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010			
26011	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
26011	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
26011	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10	10	010			
26011	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	130	10	010			
26011	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	120		010			
26011	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010			
26011	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
26011	PEAC	Lab	SL146	tubed culture media	item	0.849	4		010			
26011	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
26020	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26020	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26020	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26020	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26020	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26020	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26020	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26020	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26025	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26025	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26025	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26025	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26025	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26025	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26025	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26025	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26030	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26030	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26030	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26030	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26030	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26030	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26030	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26030	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26034	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
26034	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26034	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26034	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26034	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26034	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26034	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26034	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26035	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
26035	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26035	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26035	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26035	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26035	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26035	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26035	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26037	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26037	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26037	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26037	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26037	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26037	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26037	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26040	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26040	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26040	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26040	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26040	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26040	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26040	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26045	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26045	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26045	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26045	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26045	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26045	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26045	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26055	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090			
26055	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090			
26055	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		090			
26055	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	090			
26055	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090			
26055	PEAC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	18.076	1		090			
26055	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090			
26055	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090			
26055	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090			
26055	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
26055	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4	1	090			
26055	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
26055	PEAC	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	2.902	1		090			
26055	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		090			
26055	PEAC	"Gown, Drape"	SB038	safety glasses	item	2.902	3		090			
26055	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		090			
26055	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		090			
26055	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090			
26055	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090			
26055	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		090			
26055	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		090			
26055	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
26055	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
26055	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	3		090			
26055	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
26055	PEAC	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.644	2	1	090			
26055	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		090			
26055	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	1	090			
26055	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		090			
26055	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	1		090			
26055	PEAC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	1		090			
26055	PEAC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273	3		090			
26055	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	23	3	090			
26055	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	090			
26055	PEAC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	1		090			
26055	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		090			
26055	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
26055	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090			
26055	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090			
26055	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090			
26055	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		090			
26055	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	120		090			
26055	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		090			
26055	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		090			
26060	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
26060	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26060	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26060	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26060	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26060	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26060	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26070	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26070	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26070	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26070	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26070	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26070	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26070	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26075	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26075	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26075	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26075	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26075	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26075	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26075	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26080	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26080	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26080	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26080	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26080	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26080	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26080	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26100	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26100	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26100	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26100	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26100	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26100	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26100	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26105	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26105	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26105	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26105	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26105	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26105	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26105	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26110	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26110	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26110	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26110	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26110	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26110	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
26111	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
26113	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
26113	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
26115	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
26115	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
26115	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
26115	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
26115	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
26115	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT10	rv
26115	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
26115	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
26115	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
26115	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
26115	PEAC	"Hypodermic, IV"	SC003	arm board	item	0.598	1		090		CPT10	rv
26115	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT10	rv
26115	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
26115	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
26115	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
26115	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT10	rv
26115	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT10	rv
26115	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
26115	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
26115	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
26115	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
26115	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	rv
26115	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		090		CPT10	rv
26115	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	rv
26115	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	rv
26115	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	rv
26115	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
26115	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
26115	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		090		CPT10	rv
26115	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
26115	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		CPT10	rv
26115	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
26115	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
26115	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	rv
26115	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
26115	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
26115	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
26116	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
26116	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
26117	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
26117	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
26118	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT10	27
26118	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
26121	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26121	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26121	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26121	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26121	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26121	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26121	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26121	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26123	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
26123	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26123	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26123	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26123	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26123	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26123	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26123	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26130	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26130	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26130	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26130	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26130	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26130	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26130	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26135	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26135	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26135	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26135	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26135	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26135	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26135	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26140	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26140	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26140	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26140	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26140	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26140	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26140	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26145	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26145	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26145	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26145	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26145	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26145	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		2	090			
26145	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26160	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090			
26160	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090			
26160	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		090			
26160	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	090			
26160	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090			
26160	PEAC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	18.076	1		090			
26160	PEAC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090			
26160	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090			
26160	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090			
26160	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090			
26160	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090			
26160	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
26160	PEAC	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	2.902	1		090			
26160	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		090			
26160	PEAC	"Gown, Drape"	SB038	safety glasses	item	2.902	3		090			
26160	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		090			
26160	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		090			
26160	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090			
26160	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090			
26160	PEAC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		090			
26160	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		090			
26160	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090			
26160	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090			
26160	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	3		090			
26160	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
26160	PEAC	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.644	2	1	090			
26160	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		090			
26160	PEAC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	1	090			
26160	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		090			
26160	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	1		090			
26160	PEAC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	1		090			
26160	PEAC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273	3		090			
26160	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	23	3	090			
26160	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090			
26160	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24	12	090			
26160	PEAC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	1		090			
26160	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		090			
26160	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
26160	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090			
26160	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090			
26160	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090			
26160	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	120		090			
26160	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	120		090			
26160	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		090			
26160	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		090			
26160	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		090			
26170	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26170	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26170	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26170	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26170	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26170	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26170	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26180	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26180	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26180	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26180	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26180	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26180	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26180	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26185	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26185	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26185	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26185	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26185	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26185	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26185	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26200	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26200	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26200	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26200	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26200	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26200	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26205	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26205	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26205	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26205	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26205	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26205	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		9	090			
26205	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
26210	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26210	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26210	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26210	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26210	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26210	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		3	090			
26210	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26215	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26215	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26215	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26215	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26215	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26215	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		9	090			
26215	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
26230	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26230	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26230	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26230	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26230	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26230	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26230	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26230	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26235	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26235	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26235	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26235	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26235	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26235	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26235	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26235	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26236	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26236	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
26236	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		1	090			
26236	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26236	PEAC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090			
26236	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506		1	090			
26236	PEAC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093		6	090			
26236	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
26250	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
26250	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
26260	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
26260	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
26262	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
26262	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
26320	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
26320	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
26340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
26340	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
26341	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT12	May 2
26341	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		CPT12	May 2
26341	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		CPT12	May 2
26341	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		CPT12	May 2
26341	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT12	May 2
26341	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		010		CPT12	May 2
26341	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT12	May 2
26341	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		CPT12	May 2
26341	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		CPT12	May 2
26341	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010		CPT12	May 2
26350	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26350	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26350	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26350	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26350	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26350	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26350	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26350	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26350	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26350	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26350	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26350	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26350	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26350	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26350	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26350	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26352	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26352	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26352	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26352	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26352	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26352	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26352	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26352	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26352	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26352	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26352	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26352	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26352	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26352	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26352	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26352	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26356	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		8	090		Apr06	J
26356	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26356	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26356	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26356	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26356	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26356	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26356	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26356	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26356	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26356	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26356	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26356	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26356	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26356	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26356	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26357	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26357	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26357	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26357	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26357	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26357	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26357	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26357	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26357	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26357	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26357	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26357	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26357	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26357	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26357	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26357	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26358	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26358	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26358	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26358	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26358	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26358	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26358	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26358	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26358	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26358	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26358	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26358	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26358	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26358	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26358	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26358	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26370	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26370	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26370	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26370	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26370	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26370	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26370	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26370	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26370	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26370	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26370	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26370	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26370	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26370	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26370	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26370	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26372	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26372	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26372	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26372	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26372	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26372	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26372	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26372	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26372	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26372	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26372	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26372	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26372	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26372	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26372	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26372	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26373	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26373	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26373	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26373	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26373	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26373	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26373	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26373	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26373	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26373	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26373	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26373	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26373	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26373	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26373	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26373	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26390	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26390	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26390	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26390	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26390	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26390	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26390	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26390	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26390	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26390	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26390	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26390	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26390	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26390	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26390	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26390	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26392	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26392	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26392	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26392	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26392	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26392	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26392	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26392	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26392	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26392	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26392	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26392	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26392	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26392	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26392	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26392	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26410	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26410	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26410	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		8	090			
26410	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
26410	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		12	090			
26410	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26410	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26410	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26410	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26410	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		4	090			
26410	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090			
26410	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26410	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26410	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26410	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26410	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26412	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26412	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26412	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		8	090			
26412	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
26412	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		12	090			
26412	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26412	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26412	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26412	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26412	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		4	090			
26412	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090			
26412	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26412	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26412	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26412	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26412	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26415	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26415	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26415	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		8	090			
26415	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
26415	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		12	090			
26415	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26415	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26415	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26415	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26415	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		4	090			
26415	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090			
26415	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26415	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26415	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26415	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26415	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26416	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26416	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26416	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		8	090			
26416	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
26416	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		12	090			
26416	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26416	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26416	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26416	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26416	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		4	090			
26416	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090			
26416	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26416	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26416	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26416	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26416	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26418	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26418	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26418	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		8	090			
26418	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
26418	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		12	090			
26418	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26418	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26418	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26418	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26418	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		4	090			
26418	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090			
26418	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26418	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26418	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26418	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26418	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26420	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26420	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26420	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		8	090			
26420	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
26420	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		12	090			
26420	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26420	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26420	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26420	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26420	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		4	090			
26420	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090			
26420	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26420	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26420	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26420	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26420	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26426	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26426	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26428	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26428	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26428	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		8	090			
26428	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
26428	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		12	090			
26428	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26428	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26428	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26428	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26428	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		4	090			
26428	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090			
26428	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26428	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26428	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26428	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26428	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26432	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26432	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26432	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26432	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26432	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26432	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26432	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26432	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26432	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26432	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26432	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26432	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26432	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26432	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26432	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26432	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26433	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26433	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26433	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26433	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26433	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26433	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26433	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26433	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26433	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26433	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26433	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26433	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26433	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26433	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26433	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26433	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26434	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26434	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26434	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26434	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26434	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26434	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26434	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26434	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26434	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26434	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26434	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26434	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26434	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26434	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26434	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26434	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26437	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26437	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26437	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26437	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26437	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26437	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26437	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26437	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26437	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26437	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26437	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26437	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26437	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26437	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26437	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26437	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26440	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26440	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26440	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26440	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26440	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26440	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26440	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26440	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26440	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26440	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26440	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26440	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26440	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26440	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26440	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26440	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26442	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26442	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26442	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26442	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26442	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26442	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26442	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26442	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26442	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26442	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26442	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26442	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26442	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26442	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26442	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26442	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26445	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26445	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26445	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26445	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26445	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26445	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26445	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26445	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26445	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26445	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26445	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26445	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26445	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26445	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26445	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26445	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26449	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26449	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
26450	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26450	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26450	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
26450	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
26450	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
26450	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26450	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26450	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26450	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26450	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		1	090			
26450	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090			
26450	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26450	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26450	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26450	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26450	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26455	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26455	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26455	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
26455	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
26455	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
26455	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26455	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26455	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26455	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26455	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		1	090			
26455	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090			
26455	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26455	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26455	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26455	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26455	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26460	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26460	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26460	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
26460	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
26460	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
26460	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26460	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26460	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26460	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26460	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		1	090			
26460	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090			
26460	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26460	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26460	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26460	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26460	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26471	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26471	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26471	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26471	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26471	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26471	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26471	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26471	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26471	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26471	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26471	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26471	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26471	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26471	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26471	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26471	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26474	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26474	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26474	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26474	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26474	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26474	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26474	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26474	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26474	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26474	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26474	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26474	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26474	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26474	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26474	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26474	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26476	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26476	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26476	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26476	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26476	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26476	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26476	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26476	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26476	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26476	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26476	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26476	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26476	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26476	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26476	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26476	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26477	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26477	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26477	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26477	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26477	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26477	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26477	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26477	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26477	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26477	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26477	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26477	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26477	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26477	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26477	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26477	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26478	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26478	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26478	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26478	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26478	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26478	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26478	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26478	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26478	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26478	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26478	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26478	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26478	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26478	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26478	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26478	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26479	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26479	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26479	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26479	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26479	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26479	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26479	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26479	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26479	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26479	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26479	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26479	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26479	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26479	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26479	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26479	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26480	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26480	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26480	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26480	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26480	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26480	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26480	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26480	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26480	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26480	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26480	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26480	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26480	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26480	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26480	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26480	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26483	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26483	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26483	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26483	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26483	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26483	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26483	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26483	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26483	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26483	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26483	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26483	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26483	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26483	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26483	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26483	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26485	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26485	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26485	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26485	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26485	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26485	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26485	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26485	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26485	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26485	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26485	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26485	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26485	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26485	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26485	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26485	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26489	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26489	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26489	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26489	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26489	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26489	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26489	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26489	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26489	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26489	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26489	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26489	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26489	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26489	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26489	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26489	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26490	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26490	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26490	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26490	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26490	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26490	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26490	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26490	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26490	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26490	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26490	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26490	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26490	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26490	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26490	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26490	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26492	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26492	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26492	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26492	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26492	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26492	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26492	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26492	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26492	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26492	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26492	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26492	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26492	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26492	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26492	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26492	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26494	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26494	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26494	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26494	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26494	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26494	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26494	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26494	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26494	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26494	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26494	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26494	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26494	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26494	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26494	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26494	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26496	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26496	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26496	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26496	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26496	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26496	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26496	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26496	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26496	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26496	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26496	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26496	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26496	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26496	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26496	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26496	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26497	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26497	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26497	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26497	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26497	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26497	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26497	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26497	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26497	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26497	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26497	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26497	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26497	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26497	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26497	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26497	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26498	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26498	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26498	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26498	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26498	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26498	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26498	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26498	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26498	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26498	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26498	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26498	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26498	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26498	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26498	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26498	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26499	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26499	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26499	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26499	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26499	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26499	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26499	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26499	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26499	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26499	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26499	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26499	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26499	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26499	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26499	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26499	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26500	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26500	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26500	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26500	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26500	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26500	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26500	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26500	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26500	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26500	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26500	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26500	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26500	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26500	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26500	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26500	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26502	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26502	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26502	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26502	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26502	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26502	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26502	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26502	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26502	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26502	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26502	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26502	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26502	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26502	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26502	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26502	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26508	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26508	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26508	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26508	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26508	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26508	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26508	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26508	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26508	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26508	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26508	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26508	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26508	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26508	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26508	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26508	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26510	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26510	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26510	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26510	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26510	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26510	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26510	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26510	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26510	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26510	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26510	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26510	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26510	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26510	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26510	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26510	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26516	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26516	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26516	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26516	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26516	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26516	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26516	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26516	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26516	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26516	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26516	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26516	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26516	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26516	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26516	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26516	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26517	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26517	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26517	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26517	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26517	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26517	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26517	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26517	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26517	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26517	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26517	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26517	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26517	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26517	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26517	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26517	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26518	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26518	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26518	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26518	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26518	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26518	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26518	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26518	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26518	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26518	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26518	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26518	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26518	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26518	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26518	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26518	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26520	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26520	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26520	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26520	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26520	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26520	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26520	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26520	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26520	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26520	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26520	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26520	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26520	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26520	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26520	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26520	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26525	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26525	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26525	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26525	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26525	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26525	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26525	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26525	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26525	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26525	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26525	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26525	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26525	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26525	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26525	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26525	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26530	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26530	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		0.5	090			
26531	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
26531	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		0.5	090			
26535	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
26535	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		0.5	090			
26536	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26536	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26536	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26536	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26536	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26536	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26536	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26536	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26536	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26536	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26536	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26536	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26536	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26536	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26540	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26540	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26540	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26540	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26540	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26540	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26540	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26540	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26540	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26540	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26540	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26540	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26540	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26540	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26540	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26540	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26541	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26541	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26541	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26541	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26541	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26541	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26541	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26541	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26541	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26541	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26541	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26541	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26541	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26541	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26541	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26541	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26542	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26542	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26542	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26542	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26542	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26542	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26542	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26542	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26542	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26542	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26542	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26542	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26542	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26542	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26542	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26542	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26545	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26545	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26545	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26545	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26545	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26545	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26545	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26545	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26545	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26545	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26545	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26545	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26545	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26545	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26545	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26545	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26546	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090	26545		
26546	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
26546	CMS WALK: BOTH SITES	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090	26545		
26546	CMS WALK: BOTH SITES	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090	26545		
26546	CMS WALK: BOTH SITES	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090	26545		
26546	CMS WALK: BOTH SITES	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090	26545		
26546	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090	26545		
26546	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090	26545		
26546	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	26545		
26548	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26548	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26548	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26548	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26548	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26548	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26548	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26548	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26548	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26548	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26548	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26548	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26548	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26548	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26548	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26548	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26550	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26550	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26550	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26550	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26550	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26550	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26550	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26550	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26550	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26550	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26550	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26550	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26550	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26550	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26550	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26550	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26551	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090	26550		
26551	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
26551	CMS WALK: BOTH SITES	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090	26550		
26551	CMS WALK: BOTH SITES	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090	26550		
26551	CMS WALK: BOTH SITES	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090	26550		
26551	CMS WALK: BOTH SITES	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090	26550		
26551	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090	26550		
26551	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090	26550		
26551	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	26550		
26553	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090	26550		
26553	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
26553	CMS WALK: BOTH SITES	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090	26550		
26553	CMS WALK: BOTH SITES	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090	26550		
26553	CMS WALK: BOTH SITES	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090	26550		
26553	CMS WALK: BOTH SITES	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090	26550		
26553	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090	26550		
26553	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090	26550		
26553	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	26550		
26554	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090	26550		
26554	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		8	090		Apr06	J
26554	CMS WALK: BOTH SITES	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090	26550		
26554	CMS WALK: BOTH SITES	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090	26550		
26554	CMS WALK: BOTH SITES	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090	26550		
26554	CMS WALK: BOTH SITES	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090	26550		
26554	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090	26550		
26554	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090	26550		
26554	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	26550		
26555	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26555	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26555	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26555	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26555	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26555	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26555	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26555	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26555	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26555	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26555	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26555	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26555	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26555	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26555	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26555	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26556	CMS WALK: BOTH SITES	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		2	090	26550		
26556	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		8	090		Apr06	J
26556	CMS WALK: BOTH SITES	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090	26550		
26556	CMS WALK: BOTH SITES	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090	26550		
26556	CMS WALK: BOTH SITES	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090	26550		
26556	CMS WALK: BOTH SITES	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090	26550		
26556	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090	26550		
26556	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090	26550		
26556	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	26550		
26560	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26560	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26560	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26560	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26560	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26560	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26560	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26560	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26560	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26560	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26560	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26560	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26560	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26560	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26560	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26560	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26561	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26561	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26561	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26561	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26561	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26561	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26561	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26561	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26561	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26561	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26561	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26561	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26561	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26561	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26561	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26561	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26562	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26562	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26562	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26562	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26562	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26562	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26562	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26562	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26562	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26562	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26562	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26562	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26562	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26562	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26562	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26562	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26565	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26565	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26565	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26565	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26565	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26565	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26565	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26565	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26565	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26565	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26565	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26565	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26565	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26565	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26565	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26565	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26567	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26567	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26567	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26567	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26567	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26567	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26567	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26567	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26567	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26567	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26567	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26567	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26567	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26567	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26567	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26567	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26568	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26568	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26568	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		10	090			
26568	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
26568	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		15	090			
26568	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26568	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26568	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26568	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26568	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		5	090			
26568	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090			
26568	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26568	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26568	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26568	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26568	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26580	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26580	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26580	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26580	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26580	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26580	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26580	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26580	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26580	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26580	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26580	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26580	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26580	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26580	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26580	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26580	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26587	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
26587	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
26590	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26590	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26590	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26590	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26590	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26590	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26590	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26590	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26590	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26590	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26590	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26590	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26590	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26590	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26590	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26590	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26591	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26591	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26591	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26591	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26591	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26591	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26591	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26591	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26591	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26591	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26591	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26591	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26591	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26591	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26591	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26591	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26593	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26593	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26593	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26593	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26593	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26593	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26593	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26593	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26593	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26593	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26593	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26593	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26593	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26593	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26593	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26593	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26596	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26596	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26596	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
26596	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
26596	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
26596	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26596	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26596	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26596	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26596	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		1	090			
26596	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090			
26596	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26596	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26596	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26596	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26596	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
26600	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26600	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26600	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26605	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
26605	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26605	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26605	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26605	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26605	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26605	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26607	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		5	090			
26607	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
26607	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		5	090			
26607	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		5	090			
26607	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090			
26607	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		10	090			
26607	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
26607	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		50	090			
26607	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		10	090			
26608	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26608	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
26608	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			
26608	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26608	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
26608	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
26608	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			
26608	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
26608	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
26608	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
26608	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
26608	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			
26608	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			
26608	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
26615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26615	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26615	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26615	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26641	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
26641	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26641	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26641	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26641	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26641	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26641	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26645	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
26645	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26645	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26645	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26645	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26645	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26645	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26650	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26650	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			cp
26650	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			cp
26650	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			cp
26650	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			cp
26650	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			cp
26650	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			cp
26650	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			cp
26650	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			cp
26650	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			cp
26650	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			cp
26650	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			cp
26650	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			cp
26665	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26665	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26665	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26665	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26670	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
26670	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26670	CPEP	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26670	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26670	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26670	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26670	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26675	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
26675	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26675	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26675	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26675	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26675	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26675	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26676	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26676	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
26676	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			
26676	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26676	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
26676	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
26676	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			
26676	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
26676	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
26676	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
26676	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
26676	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			
26676	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			
26676	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
26685	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26685	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26685	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26685	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26686	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26686	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26686	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
26686	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
26700	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
26700	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26700	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26700	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26705	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
26705	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26705	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26705	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26705	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26705	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26705	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26705	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26705	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26706	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26715	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26715	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26715	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26715	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26720	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	5
26720	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26720	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26725	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
26725	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26725	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26725	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26725	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26725	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26725	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26725	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26725	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26727	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26727	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
26727	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			
26727	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26727	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
26727	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
26727	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			
26727	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
26727	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
26727	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
26727	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
26727	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			
26727	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			
26727	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
26735	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26735	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26735	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26735	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26740	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
26740	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26740	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26742	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
26742	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26742	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26742	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26742	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26742	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26742	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26742	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26742	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26746	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	11
26746	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26746	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26746	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26750	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	5
26750	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26750	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26755	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
26755	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26755	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26755	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26755	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26755	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26755	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26755	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26755	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26756	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26756	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
26756	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			
26756	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26756	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
26756	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
26756	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			
26756	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
26756	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
26756	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
26756	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
26756	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			
26756	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			
26756	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
26765	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26765	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26765	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26765	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26770	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
26770	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26770	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26775	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
26775	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
26775	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
26775	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
26775	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26775	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26775	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26775	PEAC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.655	1		090		Aug03	5
26775	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26776	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26776	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
26776	CPEP	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557		1	090			
26776	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090			
26776	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
26776	CPEP	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
26776	CPEP	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344		1	090			
26776	CPEP	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
26776	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
26776	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090			
26776	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
26776	CPEP	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254		10	090			
26776	CPEP	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		1	090			
26776	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090			
26785	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	11
26785	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	11
26785	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			cp
26785	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			cp
26820	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26820	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26820	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26820	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26820	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26820	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26820	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26820	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26820	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26820	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26820	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26820	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26820	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26820	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26820	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26820	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26841	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26841	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26841	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26841	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26841	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26841	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26841	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26841	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26841	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26841	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26841	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26841	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26841	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26841	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26841	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26841	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26842	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26842	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26842	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26842	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26842	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26842	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26842	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26842	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26842	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26842	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26842	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26842	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26842	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26842	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26842	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26842	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26843	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26843	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26843	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26843	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26843	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26843	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26843	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26843	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26843	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26843	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26843	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26843	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26843	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26843	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26843	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26843	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26844	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26844	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26844	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26844	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26844	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26844	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26844	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26844	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26844	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26844	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26844	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26844	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26844	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26844	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26844	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26844	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26850	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26850	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26850	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26850	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26850	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26850	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26850	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26850	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26850	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26850	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26850	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26850	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26850	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26850	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26850	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26850	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26852	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26852	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26852	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26852	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26852	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26852	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26852	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26852	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26852	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26852	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26852	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26852	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26852	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26852	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26852	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26852	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26860	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26860	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26860	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26860	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26860	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26860	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26860	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26860	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26860	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26860	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26860	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26860	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26860	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26860	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26860	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26860	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26862	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26862	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26862	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26862	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26862	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26862	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26862	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26862	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26862	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26862	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26862	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26862	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26862	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26862	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26862	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26862	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26910	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26910	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26910	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26910	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26910	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26910	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26910	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26910	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26910	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26910	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26910	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26910	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26910	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26910	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26910	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26910	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26951	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
26951	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26951	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26951	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26951	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26951	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26951	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26951	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26951	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26951	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26951	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26951	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26951	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26951	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26951	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26951	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26952	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26952	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
26952	CPEP	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090			
26952	CPEP	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
26952	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		9	090			
26952	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		2	090			
26952	CPEP	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		2	090			
26952	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
26952	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090			
26952	CPEP	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583		3	090			
26952	CPEP	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090			
26952	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
26952	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		4	090			
26952	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090			
26952	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		150	090			
26952	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
26990	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26990	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
26990	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
26990	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
26990	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		5	090			
26990	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		30	090			
26990	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
26990	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		600	090			
26990	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		50	090			
26990	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
26991	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
26991	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
26991	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
26991	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
26991	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
26991	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
26991	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
26991	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
26991	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
26991	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
26991	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
26991	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	5
26991	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
26991	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
26991	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	2		090		Aug03	5
26991	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
26991	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
26991	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
26991	PEAC	Lab	SL146	tubed culture media	item	0.849	1		090		Aug03	5
26992	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
26992	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
26992	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
26992	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
26992	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		5	090			
26992	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		30	090			
26992	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
26992	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		600	090			
26992	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		50	090			
26992	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
27000	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27000	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27001	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27001	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27003	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27003	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27005	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27005	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27006	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27006	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27025	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27025	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27027	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT09	5
27027	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	5
27027	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83		1	000		CPT09	5
27027	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		1	000		CPT09	5
27030	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27030	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27033	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27033	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27035	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27035	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27036	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27036	CMS WALK: BOTH SITES	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090	27035		
27036	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090	27035		
27036	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090	27035		
27036	CMS WALK: BOTH SITES	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090	27035		
27036	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	090	27035		
27036	CMS WALK: BOTH SITES	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090	27035		
27040	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
27040	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
27040	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
27040	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Mar03	6
27040	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
27040	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
27040	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
27040	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
27040	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
27040	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
27040	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
27040	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
27040	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
27040	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
27040	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
27040	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
27040	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
27040	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
27040	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
27041	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27041	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27043	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
27043	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
27045	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27047	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
27047	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
27047	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
27047	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
27047	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
27047	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	rv
27047	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
27047	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
27047	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
27047	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090		CPT10	rv
27047	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	rv
27047	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
27047	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
27047	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
27047	PEAC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	rv
27047	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	rv
27047	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
27047	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
27047	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
27047	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
27047	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	rv
27047	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		CPT10	rv
27047	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
27047	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090		CPT10	rv
27047	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		CPT10	rv
27047	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
27047	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		090		CPT10	rv
27047	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
27047	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
27047	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT10	rv
27047	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
27047	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
27047	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
27048	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
27048	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27049	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27049	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27050	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27050	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27052	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27052	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27054	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27054	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27057	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT09	5
27057	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	5
27057	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83		1	000		CPT09	5
27057	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		1	000		CPT09	5
27059	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
27059	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27060	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27060	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27062	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr08	ss
27062	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			ss
27065	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27065	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27066	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27066	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27067	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27067	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27070	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27070	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27070	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
27070	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
27070	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		5	090			
27070	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		30	090			
27070	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
27070	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		600	090			
27070	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		50	090			
27070	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
27071	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27071	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27071	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
27071	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
27071	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		5	090			
27071	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		30	090			
27071	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
27071	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		600	090			
27071	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		50	090			
27071	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
27075	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27075	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27076	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27076	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27077	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27077	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27078	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27078	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27080	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27080	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27086	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
27086	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
27086	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
27086	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
27086	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
27086	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
27086	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
27086	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
27086	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
27086	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
27086	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
27086	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
27086	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
27086	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
27086	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
27086	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
27086	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
27086	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
27086	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
27086	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
27086	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
27086	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
27087	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27087	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27090	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27090	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27091	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27091	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27093	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Mar04	R
27093	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar04	R
27093	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	R
27093	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Mar04	R
27093	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Mar04	R
27093	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Mar04	R
27095	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Mar04	R
27095	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar04	R
27095	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	R
27095	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Mar04	R
27095	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Mar04	R
27095	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		000		Mar04	R
27095	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Mar04	R
27096	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT12	May 4
27096	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 4
27096	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 4
27096	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT12	May 4
27096	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT12	May 4
27096	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000		CPT12	May 4
27097	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27097	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27098	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27098	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27100	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27100	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27105	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27105	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27110	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27110	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27111	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27111	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27120	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27120	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27122	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27122	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27125	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27125	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT14	Mar 2
27130	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Mar 2
27132	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27132	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27134	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27134	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27137	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27137	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27138	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27138	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27140	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27140	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27146	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27146	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27147	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27147	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27151	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27151	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27156	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27156	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27158	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27158	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27161	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27161	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27165	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27165	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27170	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27170	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27175	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27176	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27176	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27177	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27177	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27178	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27178	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27179	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27179	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27181	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27181	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27185	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27185	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27187	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27187	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27193	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27194	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
27200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	5
27202	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
27202	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27215	CMS WALK:	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	G0412	CPT09	rv
27215	CMS WALK:	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	G0412	CPT09	rv
27216	CMS WALK:	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	G0413	CPT09	rv
27216	CMS WALK:	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	G0413	CPT09	rv
27217	CMS WALK:	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	G0414	CPT09	rv
27217	CMS WALK:	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	G0414	CPT09	rv
27218	CMS WALK:	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	G0415	CPT09	rv
27218	CMS WALK:	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	G0415	CPT09	rv
27220	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27222	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27222	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27226	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27226	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27227	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27227	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27228	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27228	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27230	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27232	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
27235	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27235	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27236	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT14	Nov 1
27236	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Nov 1
27238	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27240	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27244	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	hi
27244	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27245	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	hi
27245	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27246	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
27248	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27248	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27252	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27253	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27253	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27254	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27254	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27256	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
27257	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar03	6
27258	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27258	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27259	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27259	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27265	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27266	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27267	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	12
27268	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	12
27269	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	12
27269	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	12
27275	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar03	6
27279	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	62287	May 2014	May 6
27279		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	62287	May 2014	May 6
27280	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27280	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27282	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27282	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27284	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27284	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27286	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27286	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27290	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
27290	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27295	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27295	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27301	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27301	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27301	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27301	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27301	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27301	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27301	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27301	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27301	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27301	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27301	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	5
27301	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27301	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27301	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Aug03	5
27301	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27301	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27301	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27301	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27301	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27301	PEAC	Lab	SL146	tubed culture media	item	0.849	1		090		Aug03	5
27303	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27303	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27305	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27305	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27306	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27306	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27307	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27307	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27310	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27310	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27323	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
27323	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
27323	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
27323	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
27323	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
27323	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
27323	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
27323	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
27323	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
27323	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
27323	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
27323	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
27323	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
27323	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
27323	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
27323	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
27323	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
27323	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
27324	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27324	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27325	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27325	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27325	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
27326	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27326	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27326	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
27327	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
27327	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
27327	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
27327	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
27327	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
27327	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT10	rv
27327	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
27327	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
27327	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
27327	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
27327	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	rv
27327	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
27327	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
27327	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
27327	PEAC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	rv
27327	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT10	rv
27327	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT10	rv
27327	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
27327	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
27327	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
27327	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
27327	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	rv
27327	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	rv
27327	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	rv
27327	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	rv
27327	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
27327	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
27327	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090		CPT10	rv
27327	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		CPT10	rv
27327	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
27327	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		CPT10	rv
27327	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
27327	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
27327	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT10	rv
27327	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
27327	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
27327	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
27328	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
27328	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27329	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27329	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27330	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27330	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27331	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27331	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27332	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27332	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27333	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27333	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27334	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27334	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27335	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27335	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27337	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
27337	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27339	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
27339	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27340	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27340	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27345	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27345	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27347	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27347	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	27345		
27350	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27350	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27355	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27355	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27356	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27356	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27357	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27357	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27360	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27360	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27360	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
27360	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
27360	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		5	090			
27360	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		30	090			
27360	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
27360	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		600	090			
27360	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		50	090			
27360	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
27364	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
27364	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27365	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27365	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27370	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Jan04	7
27370	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Jan04	7
27370	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	7
27370	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Jan04	7
27370	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Jan04	7
27372	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27372	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27372	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
27372	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27372	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27372	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27372	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27372	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27372	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27372	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27372	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27372	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
27372	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
27372	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
27372	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27372	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
27372	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27372	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
27372	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27372	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27372	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27372	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27372	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27380	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27380	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27380	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090			
27380	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
27380	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
27380	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090			
27380	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
27380	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
27380	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
27380	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		30	090			
27380	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
27381	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27381	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27381	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090			
27381	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
27381	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
27381	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090			
27381	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
27381	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
27381	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
27381	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		30	090			
27381	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
27385	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT12	5 Year
27385	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27385	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090			
27385	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
27385	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
27385	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		CPT12	5 Year
27385	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
27385	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		21	090		CPT12	5 Year
27385	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		274	090		CPT12	5 Year
27385	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		34	090		CPT12	5 Year
27385	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090		CPT12	5 Year
27386	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27386	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27386	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090			
27386	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
27386	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
27386	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090			
27386	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
27386	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
27386	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
27386	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		30	090			
27386	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090			
27390	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27390	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27391	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27391	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27392	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27392	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27393	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
27393	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27394	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27394	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27395	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27395	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27396	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27396	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27397	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27397	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27400	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27403	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27403	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27403	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		3	090			
27405	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27405	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27407	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27407	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27409	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27409	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27412	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27412	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
27415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27415	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
27416	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	14
27416	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	14
27418	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27418	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27420	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27420	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27422	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27422	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27424	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27424	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27425	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27425	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27427	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27427	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27428	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27428	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27429	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
27429	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27430	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27430	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27435	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27435	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27437	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27437	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27438	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27438	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27440	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27440	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27441	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27441	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27442	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27442	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27443	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27443	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27445	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27445	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27446	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT14	Mar 2
27446	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Mar 2
27447	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT14	Mar 2
27447	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Mar 2
27448	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27448	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27450	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27450	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27454	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27454	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27455	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27455	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27455	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090			
27455	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		2	090			
27455	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
27455	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090			
27455	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
27455	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
27457	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27457	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27465	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27465	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27466	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27466	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27468	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27468	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27470	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27470	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27472	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27472	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27475	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27475	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27477	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27477	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27479	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27479	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27485	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27485	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27486	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27486	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27487	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27487	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27488	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27488	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27495	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27495	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27496	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27496	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27497	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27497	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27498	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27498	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27499	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27499	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27500	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27500	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27500	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27500	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27501	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27501	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27501	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27501	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27502	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27503	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27506	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27506	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27507	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27507	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
27508	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27508	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27508	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27508	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27509	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27509	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
27509	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
27509	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
27509	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		3	090			
27509	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090			
27509	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
27509	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		360	090			
27509	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		30	090			
27510	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27511	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27511	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27513	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27513	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27514	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27514	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27516	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
27516	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27516	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27516	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27517	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4.5	090		Aug03	5
27519	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27519	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27520	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27520	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27520	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27520	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27524	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27524	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT12	5 Year
27530	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		CPT12	5 Year
27530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		CPT12	5 Year
27530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT12	5 Year
27532	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27532	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27532	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27532	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27535	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27535	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27536	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27536	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27538	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
27538	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27538	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27538	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27540	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27550	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
27550	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27550	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27550	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27552	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27556	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27557	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27557	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27558	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		OCT08	rv
27558	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		OCT08	rv
27560	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27560	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27560	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27560	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27562	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27566	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27566	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27570	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar03	6
27580	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27580	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27580	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
27580	CPEP	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
27580	CPEP	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		4	090			
27580	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		24	090			
27580	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
27580	CPEP	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		480	090			
27580	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
27580	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090			
27590	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27590	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27591	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27591	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27592	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27592	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27594	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27594	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27596	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27596	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27598	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27598	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27600	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27600	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
27601	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27601	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
27602	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27602	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
27603	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27603	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27603	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27603	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27603	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27603	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27603	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27603	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27603	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27603	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27603	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
27603	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27603	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27603	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
27603	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27603	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27603	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27603	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27603	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27604	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27604	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
27604	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27604	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27604	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27604	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27604	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27604	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27604	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27604	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27604	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
27604	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27604	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27604	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
27604	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27604	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27604	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27604	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27604	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27605	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
27605	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
27605	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
27605	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Mar03	6
27605	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		010		Mar03	6
27605	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
27605	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
27605	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
27605	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
27605	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Mar03	6
27605	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
27605	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	3		010		Mar03	6
27605	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		010		Mar03	6
27605	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
27605	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
27605	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar03	6
27605	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	108		010		Mar03	6
27605	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
27605	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar03	6
27605	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Mar03	6
27605	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	6
27605	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Mar03	6
27606	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar03	6
27606	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		Mar03	6
27607	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27607	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27610	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27610	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27612	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27612	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27613	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
27613	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
27613	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
27613	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
27613	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
27613	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
27613	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
27613	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
27613	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
27613	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar03	6
27613	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	6
27613	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	6
27613	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
27613	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	6
27613	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
27613	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
27613	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
27613	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
27614	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27614	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27614	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
27614	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27614	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27614	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27614	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27614	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27614	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27614	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27614	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27614	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
27614	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27614	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
27614	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27614	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
27614	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27614	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27614	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27614	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27614	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27615	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27615	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27616	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
27616	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27618	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
27618	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
27618	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
27618	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
27618	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
27618	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT10	rv
27618	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
27618	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
27618	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
27618	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
27618	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	rv
27618	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
27618	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
27618	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
27618	PEAC	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.036	0.5		090		CPT10	rv
27618	PEAC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT10	rv
27618	PEAC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT10	rv
27618	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
27618	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
27618	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
27618	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
27618	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	rv
27618	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	rv
27618	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		CPT10	rv
27618	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	rv
27618	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
27618	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT10	rv
27618	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090		CPT10	rv
27618	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		CPT10	rv
27618	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
27618	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		CPT10	rv
27618	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
27618	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
27618	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT10	rv
27618	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
27618	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
27618	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
27619	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
27619	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27620	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27620	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27625	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27625	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27626	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27626	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27630	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27630	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27630	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
27630	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27630	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27630	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27630	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27630	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27630	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27630	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27630	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27630	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
27630	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
27630	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
27630	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27630	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
27630	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27630	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
27630	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27630	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27630	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27630	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27630	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27632	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	27
27632	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27634	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
27634	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
27635	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27635	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27637	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27637	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27638	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27638	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27640	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27640	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27641	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27641	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27645	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27645	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27646	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
27646	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27647	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
27647	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
27648	PEAC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Jan04	7
27648	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Jan04	7
27648	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	7
27648	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Jan04	7
27648	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Jan04	7
27650	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Feb08	ss
27650	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27652	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27652	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27654	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr08	ss
27654	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr03	J
27656	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27656	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27656	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
27656	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27656	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27656	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27656	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27656	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27656	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27656	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27656	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27656	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
27656	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
27656	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	5
27656	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27656	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
27656	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27656	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
27656	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27656	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27656	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27656	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27656	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27658	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	5
27658	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27659	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	5
27659	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27664	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	5
27664	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27665	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	5
27665	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27675	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27675	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27676	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27676	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27680	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27680	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27681	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27681	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27685	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
27685	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27685	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
27685	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
27685	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
27685	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
27685	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
27685	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27685	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27685	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
27685	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
27685	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
27685	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
27685	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	5
27685	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
27685	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
27685	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
27685	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
27685	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27685	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
27685	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
27685	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
27685	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
27686	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	5
27686	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27687	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27687	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27690	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr08	ss
27690	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27691	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr08	ss
27691	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27695	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27695	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27696	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27696	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27698	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27698	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27700	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27700	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27702	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27702	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27703	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
27703	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27704	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
27704	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
27705	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27705	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27707	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27707	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27709	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27709	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27712	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27712	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27715	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27715	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27720	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27720	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27722	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27722	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27724	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27724	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27725	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27725	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27726	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	16
27727	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27727	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27730	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
27730	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27732	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
27732	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27734	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27734	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27740	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
27740	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27742	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
27742	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
27745	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27745	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27750	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27750	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27750	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27750	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27752	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27752	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27752	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27752	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27756	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27756	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
27758	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27758	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27759	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27759	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27760	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27760	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27760	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27760	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27762	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5.5	4.5	090		Aug03	5
27762	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27762	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27762	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27766	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	17
27766	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	17
27767	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT08	15
27767	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		CPT08	15
27767	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT08	15
27768	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	15
27769	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	14
27769	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	15
27780	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27780	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27780	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27780	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27781	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27781	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27781	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27781	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27784	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27784	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27786	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27786	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27786	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27786	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27788	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27788	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27788	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27788	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27792	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27792	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27808	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27808	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27808	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27808	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27810	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27810	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27810	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27810	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27814	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27814	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27816	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27816	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27816	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27816	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27818	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
27818	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27818	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27818	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27822	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27822	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27822	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
27822	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			cp
27822	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
27822	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
27822	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
27822	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			cp
27822	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
27823	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27823	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27823	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
27823	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			cp
27823	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
27823	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
27823	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
27823	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			cp
27823	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
27824	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27824	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27824	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27824	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27824	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27824	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27824	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27825	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
27825	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27825	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27825	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27825	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
27825	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
27825	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
27826	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27826	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27826	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
27826	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			cp
27826	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
27826	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
27826	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
27826	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			cp
27826	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
27827	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	rv
27827	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27827	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
27827	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			cp
27827	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
27827	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
27827	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
27827	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			cp
27827	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
27828	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	rv
27828	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27828	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
27828	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			rc
27828	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
27828	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
27828	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
27828	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			cp
27828	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
27829	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27829	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27829	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		12	090			cp
27829	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090			cp
27829	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			cp
27829	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		6	090			cp
27829	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			cp
27829	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		30	090			cp
27829	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		9	090			cp
27830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
27830	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
27830	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
27830	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
27831	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27832	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
27832	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	rv
27840	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27842	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27846	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27846	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27848	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27848	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27860	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Mar03	6
27870	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27870	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27871	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27871	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27880	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
27880	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27881	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27881	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27882	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27882	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27884	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27884	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27886	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27886	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27888	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27888	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27889	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27889	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
27892	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27892	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
27893	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
27893	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
27894	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
27894	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28001	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
28001	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
28001	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
28001	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Aug03	5
28001	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
28001	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
28001	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
28001	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
28001	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
28001	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
28001	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		010		Aug03	5
28001	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		010		Aug03	5
28001	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		010		Aug03	5
28001	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Aug03	5
28001	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
28001	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Aug03	5
28001	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
28001	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
28001	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
28001	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
28002	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
28002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT12	5 Year
28002	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
28002	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Aug03	5
28002	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
28002	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
28002	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
28002	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
28002	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
28002	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
28002	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		010		Aug03	5
28002	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		010		Aug03	5
28002	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Aug03	5
28002	PEAC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023	0.03		010		Aug03	5
28002	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Aug03	5
28002	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
28002	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Aug03	5
28002	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
28002	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
28002	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
28002	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
28003	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT12	5 Year
28003	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		CPT12	5 Year
28003	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		CPT12	5 Year
28003	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		CPT12	5 Year
28003	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		CPT12	5 Year
28003	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		CPT12	5 Year
28003	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT12	5 Year
28003	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		CPT12	5 Year
28003	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT12	5 Year
28003	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT12	5 Year
28003	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		CPT12	5 Year
28003	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT12	5 Year
28003	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT12	5 Year
28003	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		CPT12	5 Year
28003	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		CPT12	5 Year
28003	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT12	5 Year
28003	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT12	5 Year
28003	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		CPT12	5 Year
28003	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		CPT12	5 Year
28005	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
28005	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28005	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
28005	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		6	090			
28005	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
28008	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28008	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28008	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28008	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28008	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28008	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28008	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28008	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28008	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28008	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28008	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28008	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28008	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28008	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28008	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28008	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28008	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28008	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28008	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28010	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28010	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		090		Aug03	5
28010	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		090		Aug03	5
28010	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28010	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28010	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	5
28010	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28010	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28010	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28010	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28011	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28011	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		090		Aug03	5
28011	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		090		Aug03	5
28011	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28011	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28011	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	5
28011	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28011	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28011	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28011	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28020	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28020	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28020	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28020	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28020	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28020	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28020	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28020	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28020	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28020	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28020	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28020	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28020	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28020	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28020	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28020	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28020	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28020	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28020	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28020	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28020	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28020	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28020	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28022	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28022	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28022	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28022	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28022	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28022	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28022	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28022	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28022	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28022	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28022	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28022	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28022	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28022	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28022	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28022	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28022	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28022	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28022	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28022	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28022	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28022	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28022	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28024	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28024	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28024	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28024	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28024	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28024	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28024	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28024	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28024	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28024	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28024	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28024	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28024	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28024	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28024	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28024	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28024	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28024	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28024	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28024	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28024	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28024	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28024	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28035	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28035	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28035	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28035	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28035	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28035	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28035	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28035	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28035	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28035	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28035	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28035	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28035	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28035	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28035	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28035	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28035	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28035	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28035	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28035	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28035	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28035	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28035	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28039	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	27
28039	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	27
28039	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	27
28039	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	27
28039	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	27
28039	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	27
28039	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	27
28039	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	27
28039	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	27
28039	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	27
28039	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	27
28039	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	27
28039	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	27
28039	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	27
28039	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	42.87	1		090		CPT10	27
28039	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	27
28039	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	27
28039	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	27
28039	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	27
28039	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	27
28039	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	27
28039	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	27
28039	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	27
28039	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	27
28039	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		CPT10	27
28039	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	6		090		CPT10	27
28039	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		CPT10	27
28039	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	27
28039	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	27
28039	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	27
28039	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	27
28039	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	27
28039	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	27
28039	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	27
28041	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	27
28041	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
28043	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
28043	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		CPT10	rv
28043	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
28043	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
28043	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
28043	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT10	rv
28043	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
28043	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
28043	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
28043	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
28043	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	rv
28043	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
28043	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
28043	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
28043	PEAC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	42.87	1		090		CPT10	rv
28043	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	rv
28043	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
28043	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
28043	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
28043	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
28043	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	rv
28043	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	rv
28043	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	rv
28043	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
28043	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		CPT10	rv
28043	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	4.5		090		CPT10	rv
28043	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	4.5		090		CPT10	rv
28043	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
28043	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
28043	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
28043	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	rv
28043	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
28043	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
28043	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
28045	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT10	rv
28045	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		CPT10	rv
28045	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT10	rv
28045	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		CPT10	rv
28045	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT10	rv
28045	PEAC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		090		CPT10	rv
28045	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT10	rv
28045	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT10	rv
28045	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		CPT10	rv
28045	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT10	rv
28045	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT10	rv
28045	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		CPT10	rv
28045	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT10	rv
28045	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		CPT10	rv
28045	PEAC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	42.87	1		090		CPT10	rv
28045	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT10	rv
28045	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT10	rv
28045	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		CPT10	rv
28045	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT10	rv
28045	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT10	rv
28045	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090		CPT10	rv
28045	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT10	rv
28045	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT10	rv
28045	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT10	rv
28045	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		CPT10	rv
28045	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	6		090		CPT10	rv
28045	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		CPT10	rv
28045	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT10	rv
28045	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT10	rv
28045	PEAC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	10		090		CPT10	rv
28045	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		CPT10	rv
28045	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT10	rv
28045	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		CPT10	rv
28045	PEAC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		CPT10	rv
28046	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	rv
28046	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
28047	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT10	27
28047	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	27
28050	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28050	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28050	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28050	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28050	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28050	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28050	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28050	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28050	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28050	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28050	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28050	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28050	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28050	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28050	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28050	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28050	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28050	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28050	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28050	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28050	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28050	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28050	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28052	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28052	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28052	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28052	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28052	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28052	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28052	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28052	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28052	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28052	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28052	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28052	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28052	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28052	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28052	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28052	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28052	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28052	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28052	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28052	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28052	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28052	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28052	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28054	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28054	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28054	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28054	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28054	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28054	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28054	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28054	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28054	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28054	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28054	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28054	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28054	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28054	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28054	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28054	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28054	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28054	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28054	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28054	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28054	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28054	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28054	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28055	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
28055	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28055	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
28060	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28060	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28060	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28060	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28060	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28060	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28060	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28060	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28060	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28060	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28060	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28060	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28060	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28060	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28060	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28060	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28060	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28060	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28060	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28060	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28060	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28060	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28060	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28062	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28062	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28062	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28062	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28062	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28062	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28062	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28062	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28062	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28062	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28062	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28062	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28062	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28062	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28062	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28062	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28062	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28062	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28062	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28062	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28062	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28062	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28062	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28070	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28070	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28070	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28070	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28070	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28070	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28070	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28070	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28070	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28070	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28070	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28070	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28070	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28070	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28070	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28070	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28070	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28070	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28070	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28070	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28070	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28070	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28070	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28072	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28072	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28072	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28072	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28072	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28072	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28072	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28072	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28072	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28072	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28072	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28072	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28072	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28072	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28072	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28072	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28072	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28072	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28072	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28072	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28072	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28072	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28072	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28080	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28080	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	5
28080	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28080	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28080	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28080	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28080	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28080	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28080	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28080	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28080	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28080	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28080	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28080	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28080	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28080	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28080	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28080	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28080	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28080	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28080	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28080	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28080	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28086	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28086	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28086	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28086	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28086	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28086	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28086	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28086	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28086	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28086	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28086	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28086	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28086	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28086	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28086	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28086	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28086	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28086	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28086	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28086	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28086	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28086	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28086	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28088	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28088	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28088	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28088	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28088	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28088	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28088	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28088	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28088	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28088	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28088	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28088	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28088	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28088	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28088	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28088	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28088	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28088	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28088	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28088	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28088	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28088	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28088	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28090	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28090	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28090	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28090	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28090	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28090	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28090	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28090	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28090	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28090	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28090	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28090	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28090	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28090	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28090	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28090	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28090	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28090	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28090	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28090	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28090	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28090	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28090	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28092	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28092	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28092	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28092	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28092	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28092	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28092	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28092	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28092	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28092	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28092	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28092	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28092	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28092	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28092	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28092	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28092	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28092	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28092	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28092	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28092	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28092	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28092	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28100	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28100	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28100	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28100	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28100	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28100	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28100	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28100	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28100	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28100	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28100	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28100	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28100	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28100	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28100	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28100	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28100	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28100	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28100	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28100	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28100	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28100	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28100	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28102	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28102	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28103	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	5
28103	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
28104	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28104	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28104	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28104	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28104	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28104	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28104	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28104	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28104	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28104	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28104	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28104	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28104	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28104	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28104	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28104	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28104	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28104	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28104	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28104	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28104	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28104	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28104	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28106	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28106	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28107	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28107	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28107	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28107	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28107	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28107	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28107	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28107	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28107	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28107	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28107	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28107	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28107	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28107	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28107	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28107	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28107	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28107	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28107	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28107	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28107	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28107	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28107	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28108	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28108	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28108	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28108	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28108	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28108	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28108	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28108	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28108	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28108	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28108	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28108	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28108	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28108	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28108	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28108	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28108	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28108	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28108	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28108	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28108	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28108	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28108	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28110	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28110	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28110	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28110	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28110	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28110	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28110	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28110	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28110	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28110	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28110	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28110	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28110	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28110	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28110	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28110	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28110	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28110	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28110	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28110	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28110	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28110	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28110	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28110	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28111	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28111	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28111	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28111	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28111	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28111	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28111	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28111	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28111	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28111	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28111	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28111	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28111	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28111	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28111	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28111	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28111	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28111	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28111	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28111	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28111	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28111	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28111	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28111	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28112	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28112	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28112	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28112	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28112	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28112	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28112	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28112	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28112	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28112	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28112	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28112	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28112	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28112	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28112	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28112	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28112	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28112	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28112	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28112	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28112	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28112	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28112	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28112	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28113	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28113	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	5
28113	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28113	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28113	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28113	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28113	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28113	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28113	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28113	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28113	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28113	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28113	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28113	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28113	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28113	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28113	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28113	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28113	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28113	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28113	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28113	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28113	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28113	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28114	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28114	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	5
28114	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28114	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28114	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28114	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28114	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28114	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28114	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28114	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28114	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28114	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28114	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28114	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28114	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28114	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28114	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28114	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28114	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28114	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28114	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28114	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28114	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28114	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28116	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28116	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28116	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28116	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28116	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28116	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28116	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28116	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28116	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28116	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28116	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28116	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28116	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28116	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28116	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28116	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28116	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28116	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28116	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28116	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28116	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28116	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28116	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28118	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28118	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28118	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28118	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28118	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28118	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28118	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28118	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28118	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28118	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28118	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28118	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28118	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28118	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28118	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28118	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28118	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28118	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28118	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28118	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28118	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28118	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28118	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28119	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28119	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28119	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28119	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28119	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28119	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28119	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28119	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28119	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28119	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28119	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28119	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28119	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28119	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28119	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28119	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28119	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28119	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28119	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28119	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28119	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28119	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28119	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28120	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT10	mv
28120	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28120	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28120	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28120	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28120	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28120	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28120	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28120	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28120	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28120	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28120	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28120	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28120	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28120	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28120	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28120	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28120	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28120	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28120	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28120	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28120	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28122	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28122	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT10	mv
28122	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28122	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28122	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28122	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28122	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28122	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28122	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28122	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28122	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28122	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28122	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28122	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28122	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28122	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28122	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28122	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28122	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28122	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28122	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28122	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28122	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28124	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28124	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28124	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28124	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28124	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28124	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28124	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28124	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28124	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28124	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28124	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28124	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28124	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28124	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28124	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28124	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28124	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28124	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28124	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28124	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28124	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28124	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28124	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28126	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28126	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28126	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28126	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28126	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28126	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28126	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28126	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28126	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28126	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28126	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28126	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28126	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28126	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28126	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28126	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28126	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28126	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28126	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28126	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28126	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28126	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28126	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28130	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28130	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28140	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28140	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28140	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28140	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28140	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28140	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28140	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28140	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28140	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28140	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28140	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28140	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28140	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28140	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28140	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28140	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28140	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28140	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28140	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28140	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28140	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28140	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28140	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28150	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28150	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28150	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28150	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28150	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28150	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28150	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28150	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28150	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28150	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28150	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28150	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28150	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28150	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28150	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28150	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28150	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28150	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28150	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28150	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28150	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28150	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28150	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28153	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28153	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28153	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28153	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28153	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28153	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28153	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28153	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28153	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28153	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28153	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28153	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28153	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28153	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28153	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28153	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28153	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28153	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28153	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28153	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28153	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28153	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28153	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28160	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28160	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28160	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28160	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28160	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28160	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28160	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28160	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28160	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28160	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28160	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28160	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28160	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28160	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28160	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28160	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28160	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28160	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28160	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28160	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28160	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28160	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28160	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28171	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
28171	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
28173	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
28173	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
28175	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	rv
28175	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	rv
28190	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
28190	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	5
28190	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	5
28190	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		010		Aug03	5
28190	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Aug03	5
28190	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Aug03	5
28190	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Aug03	5
28190	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	5
28190	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Aug03	5
28190	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Aug03	5
28190	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Aug03	5
28190	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		010		Aug03	5
28190	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		010		Aug03	5
28190	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Aug03	5
28190	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Aug03	5
28190	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Aug03	5
28190	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Aug03	5
28190	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		010		Aug03	5
28190	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010		Aug03	5
28190	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		010		Aug03	5
28190	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Aug03	5
28192	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28192	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28192	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28192	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28192	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28192	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28192	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28192	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28192	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28192	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28192	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28192	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28192	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28192	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28192	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28192	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28192	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28192	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28192	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28192	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28192	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28192	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28192	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28193	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28193	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28193	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28193	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28193	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28193	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28193	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28193	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28193	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28193	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28193	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28193	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28193	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28193	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28193	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28193	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28193	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28193	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28193	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28193	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28193	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28193	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28193	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28200	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28200	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28200	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28200	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28200	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28200	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28200	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28200	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28200	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28200	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28200	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28200	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28200	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28200	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28200	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28200	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28200	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28200	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28200	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28200	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28200	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28200	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28202	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28202	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28202	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28202	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28202	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28202	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28202	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28202	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28202	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28202	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28202	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28202	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28202	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28202	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28202	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28202	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28202	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28202	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28202	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28202	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28202	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28202	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28202	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28208	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28208	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28208	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28208	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28208	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28208	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28208	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28208	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28208	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28208	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28208	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28208	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28208	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28208	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28208	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28208	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28208	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28208	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28208	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28208	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28208	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28208	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28208	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28210	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28210	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28210	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28210	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28210	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28210	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28210	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28210	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28210	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28210	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28210	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28210	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28210	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28210	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28210	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28210	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28210	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28210	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28210	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28210	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28210	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28210	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28210	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28220	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28220	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28220	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28220	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28220	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28220	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28220	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28220	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28220	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28220	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28220	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28220	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28220	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28220	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28220	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28220	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28220	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28220	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28220	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28220	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28220	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28220	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28220	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28222	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28222	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28222	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28222	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28222	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28222	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28222	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28222	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28222	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28222	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28222	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28222	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28222	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28222	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28222	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28222	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28222	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28222	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28222	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28222	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28222	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28222	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28222	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28225	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28225	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28225	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28225	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28225	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28225	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28225	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28225	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28225	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28225	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28225	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28225	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28225	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28225	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28225	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28225	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28225	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28225	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28225	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28225	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28225	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28225	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28225	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28226	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28226	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28226	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28226	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28226	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28226	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28226	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28226	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28226	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28226	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28226	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28226	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28226	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28226	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28226	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28226	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28226	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28226	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28226	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28226	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28226	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28226	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28226	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28230	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28230	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28230	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28230	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28230	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28230	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28230	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28230	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28230	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28230	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28230	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28230	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28230	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28230	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28230	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28230	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28230	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28230	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28230	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28230	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28230	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28230	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28230	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28232	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28232	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28232	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28232	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28232	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28232	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28232	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28232	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28232	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28232	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28232	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28232	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28232	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28232	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28232	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28232	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28232	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28232	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28232	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28232	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28232	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28232	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28232	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28234	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28234	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28234	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28234	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28234	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28234	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28234	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28234	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28234	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28234	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28234	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28234	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28234	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28234	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28234	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28234	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28234	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28234	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28234	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28234	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28234	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28234	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28234	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28238	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28238	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28238	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28238	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28238	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28238	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28238	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28238	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28238	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28238	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28238	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28238	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28238	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28238	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28238	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28238	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28238	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28238	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28238	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28238	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28238	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28238	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28238	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28240	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28240	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28240	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28240	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28240	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28240	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28240	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28240	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28240	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28240	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28240	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28240	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28240	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28240	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28240	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28240	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28240	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28240	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28240	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28240	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28240	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28240	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28240	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28250	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28250	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28250	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28250	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28250	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28250	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28250	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28250	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28250	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28250	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28250	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28250	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28250	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28250	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28250	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28250	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28250	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28250	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28250	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28250	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28250	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28250	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28250	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28260	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28260	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28260	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28260	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28260	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28260	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28260	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28260	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28260	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28260	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28260	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28260	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28260	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28260	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28260	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28260	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28260	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28260	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28260	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28260	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28260	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28260	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28260	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28261	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28261	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28261	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28261	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28261	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28261	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28261	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28261	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28261	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28261	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28261	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28261	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28261	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28261	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28261	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28261	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28261	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28261	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28261	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28261	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28261	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28261	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28261	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28262	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28262	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28262	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28262	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28262	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28262	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28262	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28262	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28262	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28262	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28262	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28262	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28262	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28262	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28262	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28262	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28262	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28262	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28262	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28262	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28262	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28262	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28262	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28264	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28264	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28264	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28264	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28264	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28264	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28264	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28264	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28264	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28264	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28264	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28264	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28264	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28264	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28264	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28264	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28264	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28264	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28264	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28264	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28264	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28264	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28264	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28270	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28270	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28270	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28270	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28270	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28270	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28270	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28270	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28270	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28270	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28270	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28270	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28270	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28270	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28270	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28270	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28270	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28270	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28270	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28270	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28270	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28270	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28270	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28272	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28272	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28272	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28272	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28272	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28272	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28272	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28272	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28272	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28272	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28272	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28272	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28272	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28272	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28272	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28272	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28272	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28272	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28272	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28272	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28272	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28272	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28272	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28280	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28280	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28280	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28280	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28280	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28280	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28280	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28280	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28280	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28280	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28280	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28280	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28280	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28280	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28280	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28280	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28280	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28280	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28280	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28280	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28280	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28280	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28280	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28285	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT12	5 Year
28285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT12	5 Year
28285	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28285	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		CPT12	5 Year
28285	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		CPT12	5 Year
28285	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		CPT12	5 Year
28285	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		CPT12	5 Year
28285	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT12	5 Year
28285	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		CPT12	5 Year
28285	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT12	5 Year
28285	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT12	5 Year
28285	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		CPT12	5 Year
28285	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT12	5 Year
28285	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT12	5 Year
28285	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT12	5 Year
28285	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT12	5 Year
28285	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT12	5 Year
28285	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		CPT12	5 Year
28285	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		CPT12	5 Year
28285	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT12	5 Year
28285	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT12	5 Year
28285	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		CPT12	5 Year
28285	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		CPT12	5 Year
28286	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28286	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28286	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28286	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28286	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28286	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28286	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28286	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28286	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28286	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28286	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28286	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28286	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28286	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28286	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28286	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28286	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28286	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28286	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28286	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28286	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28286	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28286	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28288	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28288	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	5
28288	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28288	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28288	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28288	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28288	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28288	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28288	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28288	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28288	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28288	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28288	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28288	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28288	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28288	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28288	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28288	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28288	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28288	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28288	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28288	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28288	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28288	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28289	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28289	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28289	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28289	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28289	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28289	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28289	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28289	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28289	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28289	PEAC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.792	1		090		Aug03	5
28289	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28289	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28289	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28289	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28289	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28289	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28289	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28289	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28289	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28289	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28289	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28289	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28289	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28289	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28290	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28290	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28290	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28290	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28290	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28290	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28290	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28290	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28290	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28290	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28290	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28290	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28290	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28290	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28290	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28290	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28290	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28290	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28290	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28290	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28290	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28290	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28290	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28290	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28292	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28292	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090		Aug03	5
28292	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28292	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28292	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28292	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28292	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28292	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28292	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28292	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28292	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28292	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28292	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28292	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28292	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28292	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28292	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28292	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28292	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28292	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28292	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28292	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28292	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28292	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28293	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	8	7	090			
28293	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	090			
28293	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		090			
28293	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
28293	PEAC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		090			
28293	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
28293	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090			
28293	PEAC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.159	1		090			
28293	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		090			
28293	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		090			
28293	PEAC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090			
28293	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		090			
28293	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		090			
28293	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		090			
28293	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	6		090			
28293	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		090			
28293	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090			
28293	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		090			
28293	PEAC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	42.87	1		090			
28293	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090			
28293	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	2		090			
28293	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090			
28293	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090			
28293	PEAC	"Cutters, Closures, Cautery"	SF027	"endoscopic burr, surgical"	item	40	1		090			
28293	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	4		090			
28293	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090			
28293	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
28293	PEAC	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	30.068	1		090			
28293	PEAC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		090			
28293	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		090			
28293	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		090			
28293	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	3		090			
28293	PEAC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318	1		090			
28293	PEAC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		090			
28293	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
28293	PEAC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	1.473	1		090			
28293	PEAC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		090			
28293	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
28293	PEAC	"Pharmacy, Rx"	SH012	bacitracin powder (Altracin)	gm	3.846	1		090			
28293	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090			
28293	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20		090			
28293	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
28293	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090			
28293	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090			
28293	PEAC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.401	1		090			
28293	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		090			
28293	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		090			
28293	PEAC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090			
28294	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28294	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28294	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28294	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28294	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28294	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28294	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28294	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28294	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28294	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28294	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28294	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28294	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28294	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28294	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28294	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28294	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28294	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28294	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28294	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28294	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28294	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28294	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28294	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28296	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28296	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Feb08	ss
28296	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28296	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28296	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28296	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28296	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28296	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28296	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28296	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28296	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28296	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28296	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28296	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28296	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28296	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28296	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28296	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28296	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28296	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28296	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28296	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28296	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28296	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28297	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28297	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28297	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28297	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28297	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28297	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28297	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28297	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28297	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28297	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28297	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28297	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28297	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28297	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28297	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28297	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28297	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28297	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28297	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28297	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28297	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28297	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28297	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28297	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28298	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28298	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28298	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28298	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28298	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28298	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28298	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28298	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28298	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28298	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28298	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28298	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28298	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28298	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28298	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28298	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28298	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28298	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28298	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28298	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28298	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28298	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28298	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28298	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28299	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28299	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28299	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28299	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28299	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28299	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28299	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28299	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28299	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28299	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28299	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28299	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28299	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28299	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28299	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28299	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28299	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28299	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28299	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28299	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28299	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28299	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28299	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28299	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28300	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
28300	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
28302	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	5
28302	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
28304	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28304	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28304	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28304	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28304	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28304	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28304	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28304	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28304	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28304	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28304	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28304	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28304	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28304	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28304	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28304	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28304	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28304	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28304	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28304	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28304	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28304	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28304	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28304	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28304	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28305	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4.5	090		Aug03	5
28305	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	5
28306	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28306	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28306	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28306	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28306	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28306	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28306	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28306	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28306	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28306	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28306	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28306	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28306	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28306	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28306	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28306	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28306	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28306	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28306	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28306	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28306	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28306	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28306	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28306	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28306	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28307	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28307	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28307	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28307	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28307	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28307	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28307	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28307	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28307	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28307	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28307	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28307	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28307	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28307	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28307	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28307	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28307	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28307	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28307	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28307	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28307	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28307	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28307	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28307	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28307	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28308	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28308	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28308	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28308	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28308	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28308	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28308	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28308	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28308	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28308	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28308	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28308	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28308	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28308	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28308	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28308	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28308	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28308	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28308	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28308	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28308	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28308	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28308	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28308	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28308	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28309	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28309	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28310	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28310	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28310	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28310	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28310	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28310	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28310	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28310	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28310	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28310	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28310	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28310	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28310	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28310	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28310	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28310	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28310	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28310	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28310	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28310	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28310	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28310	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28310	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28310	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28310	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28312	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28312	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28312	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28312	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28312	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28312	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28312	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28312	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28312	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28312	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28312	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28312	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28312	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28312	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28312	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28312	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28312	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28312	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28312	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28312	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28312	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28312	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28312	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28312	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28312	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28313	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28313	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28313	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28313	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28313	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28313	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28313	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28313	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28313	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28313	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28313	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28313	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28313	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28313	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28313	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28313	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28313	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28313	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28313	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28313	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28313	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28313	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28313	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28313	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28315	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28315	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28315	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28315	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28315	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28315	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28315	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28315	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28315	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28315	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28315	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28315	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28315	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28315	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28315	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28315	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28315	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28315	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28315	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28315	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28315	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28315	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28315	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28315	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28320	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28320	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28322	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28322	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28322	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28322	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28322	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28322	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28322	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28322	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28322	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28322	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28322	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28322	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28322	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28322	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28322	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28322	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28322	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28322	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28322	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28322	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28322	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28322	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28322	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28322	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28340	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28340	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28340	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28340	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28340	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28340	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28340	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28340	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28340	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28340	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28340	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28340	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28340	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28340	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28340	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28340	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28340	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28340	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28340	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28340	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28340	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28340	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28340	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28340	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28341	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28341	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28341	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28341	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28341	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28341	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28341	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28341	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28341	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28341	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28341	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28341	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28341	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28341	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28341	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28341	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28341	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28341	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28341	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28341	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28341	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28341	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28341	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28341	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28344	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28344	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28344	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28344	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28344	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28344	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28344	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28344	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28344	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28344	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28344	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28344	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28344	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28344	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28344	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28344	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28344	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28344	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28344	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28344	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28344	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28344	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28344	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28344	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28345	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28345	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28345	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28345	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28345	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28345	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28345	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28345	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28345	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28345	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28345	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28345	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28345	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28345	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28345	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28345	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28345	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28345	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28345	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28345	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28345	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28345	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28345	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28345	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28360	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
28360	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
28360	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			
28360	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			
28360	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
28400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28400	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28400	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28400	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28405	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28405	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28405	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28405	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28406	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28406	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28406	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	090			
28406	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
28406	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
28406	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		2	090			
28406	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
28406	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		76	090			
28415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	rv
28415	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	rv
28415	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
28415	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			cp
28415	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
28415	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
28415	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
28415	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			cp
28415	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
28420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	rv
28420	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	rv
28420	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
28420	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			cp
28420	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
28420	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
28420	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
28420	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			cp
28420	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
28430	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28430	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28430	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28430	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28435	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28435	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28435	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28435	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28435	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28435	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28435	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28436	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28436	CPEP	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
28436	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	090			
28436	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
28436	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
28436	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		2	090			
28436	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
28436	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		76	090			
28445	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	rv
28445	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
28446	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT08	18
28446	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	18
28450	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28450	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28450	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28450	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28455	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28455	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Apr06	J
28455	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28455	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28455	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28455	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28455	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28455	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28456	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28456	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28456	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	090			
28456	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
28456	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
28456	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		2	090			
28456	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
28456	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		76	090			
28465	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
28465	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	rv
28465	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		12	090			cp
28465	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090			cp
28465	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			cp
28465	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		6	090			cp
28465	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
28465	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		30	090			cp
28465	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		9	090			cp
28470	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	3	090		CPT13	MD Time
28470	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		CPT13	MD Time
28470	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		CPT13	MD Time
28470	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		CPT13	MD Time
28475	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28475	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28475	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28475	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28475	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28475	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28475	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28476	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
28476	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28476	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	090			
28476	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
28476	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	090			
28476	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		2	090			
28476	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
28476	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		76	090			
28485	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	rv
28485	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	rv
28485	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		16	090			cp
28485	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090			cp
28485	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090			cp
28485	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		8	090			cp
28485	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			cp
28485	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			pc
28485	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		12	090			cp
28490	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	5
28490	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28490	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28490	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28495	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	5
28495	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28495	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28495	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28495	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28495	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28495	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28496	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28496	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28496	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28496	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28496	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28496	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28496	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28496	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28496	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28496	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28496	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28496	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28496	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28496	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28496	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28496	PEAC	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	4.807	1		090		Aug03	5
28496	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28496	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28496	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28496	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28496	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28496	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28496	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28496	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28496	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28505	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT08	rv
28505	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28505	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28505	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28505	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28505	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28505	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28505	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28505	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28505	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28505	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28505	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28505	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28505	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28505	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28505	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28505	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28505	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28505	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28505	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28505	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28505	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28505	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28510	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	5
28510	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28510	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28515	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	5
28515	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28515	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28515	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28515	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28515	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28525	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT08	rv
28525	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28525	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28525	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28525	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28525	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28525	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28525	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28525	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28525	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28525	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28525	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28525	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28525	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28525	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28525	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28525	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28525	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28525	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28525	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28525	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28525	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28525	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28530	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	090		Aug03	5
28530	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28530	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28530	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28531	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28531	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	5
28531	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28531	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28531	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28531	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28531	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28531	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28531	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28531	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28531	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28531	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28531	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28531	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28531	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28531	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28531	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28531	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28531	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28531	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28531	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28531	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28531	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28531	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28540	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28540	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28540	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28540	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28545	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28545	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28545	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28545	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28545	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28545	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28545	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28546	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28546	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28546	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28546	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28546	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28546	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28546	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28546	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28546	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28546	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28546	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28546	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28546	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28546	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28546	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28546	PEAC	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	4.807	1		090		Aug03	5
28546	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28546	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28546	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28546	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28546	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28546	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28546	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28546	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28546	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28555	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT08	rv
28555	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28555	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28555	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28555	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28555	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28555	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28555	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28555	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28555	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28555	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28555	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28555	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28555	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28555	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28555	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28555	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28555	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28555	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28555	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28555	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28555	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28555	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28570	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	5
28570	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28570	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28570	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28575	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28575	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28575	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28575	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28575	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28575	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28575	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28585	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		CPT08	rv
28585	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28585	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28585	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28585	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28585	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28585	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28585	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28585	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28585	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28585	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28585	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28585	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28585	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28585	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28585	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28585	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28585	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28585	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28585	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28585	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28585	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28585	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	5
28600	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28600	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28600	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28605	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	5
28605	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Aug03	5
28605	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		090		Aug03	5
28605	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Aug03	5
28605	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28605	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28605	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28606	PEAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		28			CMS06	
28615	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		3	090			cp
28615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		CPT08	rv
28615	CPEP	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188		12	090			cp
28615	CPEP	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090			cp
28615	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090			cp
28615	CPEP	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		6	090			cp
28615	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			cp
28615	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		30	090			cp
28615	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		9	090			cp
28630	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
28630	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Mar03	6
28630	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3	1	010		Mar03	6
28630	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar03	6
28630	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	3		010		Mar03	6
28630	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar03	6
28635	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
28635	PEAC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Mar03	6
28635	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3	1	010		Mar03	6
28635	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar03	6
28635	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
28635	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
28635	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	3		010		Mar03	6
28635	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar03	6
28635	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
28636	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	6
28636	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
28636	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	6
28636	PEAC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.128	1		010		Mar03	6
28636	PEAC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.441	1		010		Mar03	6
28636	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		010		Mar03	6
28636	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010		Mar03	6
28636	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
28636	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
28636	PEAC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar03	6
28636	PEAC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.583	3		010		Mar03	6
28636	PEAC	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.669	3		010		Mar03	6
28636	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		010		Mar03	6
28636	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	6
28636	PEAC	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.862	3		010		Mar03	6
28636	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	108		010		Mar03	6
28636	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
28645	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28645	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT08	rv
28645	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28645	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28645	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28645	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28645	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28645	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28645	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28645	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28645	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28645	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28645	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28645	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28645	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28645	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28645	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28645	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28645	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28645	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28645	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28645	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28645	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28645	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28660	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
28660	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	010		Mar03	6
28660	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		010		Mar03	6
28660	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
28665	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	6
28665	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	010		Mar03	6
28665	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	6
28665	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	6
28665	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		010		Mar03	6
28665	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar03	6
28665	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		Mar03	6
28666	CPEP	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	010			
28666	CPEP	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		2	010			
28666	CPEP	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
28666	CPEP	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		7	010			
28666	CPEP	"Gown, Drape"	SB037	pillow case	item	0.307		1	010			
28666	CPEP	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	010			
28666	CPEP	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	010			
28666	CPEP	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		1	010			
28666	CPEP	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	010			
28666	CPEP	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023		2	010			
28666	CPEP	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	010			
28666	CPEP	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		76	010			
28666	CPEP	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	010			
28675	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28675	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT08	rv
28675	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28675	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28675	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28675	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28675	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28675	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28675	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28675	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28675	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28675	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28675	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28675	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28675	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28675	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28675	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28675	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28675	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28675	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28675	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28675	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28675	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28675	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28705	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28705	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28715	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		CPT12	5 Year
28715	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	5 Year
28725	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT12	MD Time
28725	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28730	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		CPT12	MD Time
28730	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28735	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28735	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28737	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
28737	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
28740	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28740	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28740	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28740	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28740	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28740	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28740	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28740	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28740	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28740	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28740	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28740	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28740	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28740	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28740	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28740	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28740	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28740	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28740	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28740	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28740	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28740	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28740	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28740	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28750	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28750	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28750	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28750	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28750	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28750	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28750	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28750	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28750	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28750	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28750	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28750	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28750	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28750	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28750	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28750	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28750	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28750	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28750	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28750	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28750	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28750	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28750	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28750	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28755	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28755	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	5
28755	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28755	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28755	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28755	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28755	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28755	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28755	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28755	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28755	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28755	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28755	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28755	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28755	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28755	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28755	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28755	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28755	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28755	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28755	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28755	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28755	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28755	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28760	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28760	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	5
28760	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28760	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28760	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28760	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28760	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28760	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28760	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28760	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28760	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28760	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28760	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28760	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28760	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28760	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28760	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28760	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28760	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28760	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28760	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28760	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28760	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28760	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28800	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
28800	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
28805	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
28805	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
28810	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
28810	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
28820	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT12	5 Year
28820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT12	5 Year
28820	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		CPT12	5 Year
28820	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		CPT12	5 Year
28820	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		CPT12	5 Year
28820	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		CPT12	5 Year
28820	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		CPT12	5 Year
28820	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT12	5 Year
28820	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		CPT12	5 Year
28820	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		CPT12	5 Year
28820	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		CPT12	5 Year
28820	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		CPT12	5 Year
28820	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		CPT12	5 Year
28820	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		CPT12	5 Year
28820	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		CPT12	5 Year
28820	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT12	5 Year
28820	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		CPT12	5 Year
28820	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		CPT12	5 Year
28820	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT12	5 Year
28820	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		CPT12	5 Year
28820	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		CPT12	5 Year
28820	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT12	5 Year
28820	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		CPT12	5 Year
28820	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		CPT12	5 Year
28820	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		CPT12	5 Year
28825	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	5
28825	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Apr08	ss
28825	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	5
28825	PEAC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Aug03	5
28825	PEAC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.182	1		090		Aug03	5
28825	PEAC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Aug03	5
28825	PEAC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Aug03	5
28825	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	5
28825	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	5
28825	PEAC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		090		Aug03	5
28825	PEAC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	9.9	1		090		Aug03	5
28825	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	5
28825	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	5
28825	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Aug03	5
28825	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Aug03	5
28825	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Aug03	5
28825	PEAC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Aug03	5
28825	PEAC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Aug03	5
28825	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	5
28825	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Aug03	5
28825	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	5
28825	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	5
28825	PEAC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Aug03	5
28825	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	5
28825	PEAC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	5
28890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		RUC05	
28890	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		RUC05	
28890	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		RUC05	
28890	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		RUC05	
28890	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	5		090		RUC05	
28890	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090		RUC05	
28890	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		RUC05	
29000	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29000	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29010	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29010	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29015	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29015	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29035	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29035	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29040	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29040	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29044	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29044	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29046	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29046	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29049	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29049	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29049	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29055	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29055	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29058	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29058	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29058	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29065	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29065	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29065	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29075	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29075	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29075	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29085	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29085	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29085	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29086	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29086	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29086	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29105	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29105	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29105	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29125	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29125	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29125	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29126	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29126	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29126	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29200	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29200	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29200	Invoice		SG097	foam underwrap	inch	0.0043	130		000	29540	March 2014	March HCPAC
29200	Invoice		SG098	rigid strapping tape	inch	0.018	130		000	29540	March 2014	March HCPAC
29200	Invoice		SM029	skin prep barrier wipes		0.2	2		000	29540	March 2014	March HCPAC
29240	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29240	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29240	RUC		SG097	foam underwrap	inch	0.0043	80		000	29540	March 2014	March HCPAC
29240	RUC		SG098	rigid strapping tape	inch	0.018	80		000	29540	March 2014	March HCPAC
29240	RUC		SM029	skin prep barrier wipes		0.2	2		000	29540	March 2014	March HCPAC
29260	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29260	RUC		SG097	foam underwrap	inch	0.0043	45		000	29540	March 2014	March HCPAC
29260	RUC		SG098	rigid strapping tape	inch	0.018	45		000	29540	March 2014	March HCPAC
29260	RUC		SM029	skin prep barrier wipes		0.2	1		000	29540	March 2014	March HCPAC
29280	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29280	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29280	RUC		SG097	foam underwrap	inch	0.0043	30		000	29540	March 2014	March HCPAC
29280	RUC		SG098	rigid strapping tape	inch	0.018	30		000	29540	March 2014	March HCPAC
29280	RUC		SM029	skin prep barrier wipes		0.2	1		000	29540	March 2014	March HCPAC
29305	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29305	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29305	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29325	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29325	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	7	1	000			
29325	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29345	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29345	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29345	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29355	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29355	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29355	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29358	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29358	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29358	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29365	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29365	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29365	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29405	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29405	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29405	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29425	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29425	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29425	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29435	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29435	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29435	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29440	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
29440	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
29440	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29445	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29445	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29445	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29450	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29450	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29505	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29505	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29505	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
29515	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	000			
29515	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5	1	000			
29515	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2	1	000			
29520	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29520	RUC		SG097	foam underwrap	inch	0.0043	175		000	29540	March 2014	March HCPAC
29520	RUC		SG098	rigid strapping tape	inch	0.018	175		000	29540	March 2014	March HCPAC
29520	RUC		SM029	skin prep barrier wipes		0.2	2		000	29540	March 2014	March HCPAC
29530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29530	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29530	RUC		SG097	foam underwrap	inch	0.0043	75		000	29540	March 2014	March HCPAC
29530	RUC		SG098	rigid strapping tape	inch	0.018	75		000	29540	March 2014	March HCPAC
29530	RUC		SM029	skin prep barrier wipes		0.2	2		000	29540	March 2014	March HCPAC
29540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29540	RUC		SG097	foam underwrap	inch	0.0043	48		000	29540	March 2014	March HCPAC
29540	RUC		SG098	rigid strapping tape	inch	0.018	48		000	29540	March 2014	March HCPAC
29540	RUC		SM029	skin prep barrier wipes		0.2	1		000	29540	March 2014	March HCPAC
29550	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000	29540	March 2014	March HCPAC
29550	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000	29540	March 2014	March HCPAC
29550	RUC		SG097	foam underwrap	inch	0.0043	22		000	29540	March 2014	March HCPAC
29550	RUC		SG098	rigid strapping tape	inch	0.018	22		000	29540	March 2014	March HCPAC
29550	RUC		SM029	skin prep barrier wipes		0.2	1		000	29540	March 2014	March HCPAC
29580	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	000			
29580	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
29580	PEAC	"Wound Care, Dressings"	SG080	unna boot	item	4.561	1		000			
29581	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	1
29581	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT10	1
29581	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT10	1
29581	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT10	1
29581	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT10	1
29581	RUC	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	16.39	1		000		CPT12	CMS
29581	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT10	1
29581	RUC	"Pharmacy, Rx"	SH098	chlorhexidine 4.0% (Hibiclens)	oz		20		000		CPT10	1
29581	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000		CPT10	1
29582	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 5 and 42
29582	RUC	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	16.39	2		000		CPT12	May 5 and 42
29582	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.3	1		000		CPT12	May 5 and 42
29583	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 5 and 42
29583	RUC	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	16.39	1		000		CPT12	May 5 and 42
29583	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.3	1		000		CPT12	May 5 and 42
29584	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 5 and 42
29584	RUC	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	16.39	2		000		CPT12	May 5 and 42
29584	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.3	1		000		CPT12	May 5 and 42
29700	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1	1	000			
29700	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1	1	000			
29700	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29705	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1	1	000			
29705	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1	1	000			
29705	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29710	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1	1	000			
29710	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1	1	000			
29710	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29720	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
29720	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
29720	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29730	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
29730	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
29730	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29740	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
29740	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
29740	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29750	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
29750	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
29750	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
29800	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
29800	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
29800	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		3	090		Apr06	J
29804	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
29804	PERC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
29804	PERC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090		Apr06	J
29805	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	29815		
29805	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29806	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29806	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29807	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29807	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29819	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29819	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29820	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29820	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29821	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29821	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29822	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29822	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29823	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29823	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29824	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29824	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29825	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29825	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29827	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29827	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29828	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT13	Mar 2
29828	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT13	Mar 2
29830	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29830	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29834	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29834	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29835	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29835	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29836	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29836	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29837	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29837	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29838	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29838	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29840	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29840	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29843	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29843	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29844	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29844	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29845	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29845	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29846	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29846	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29847	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29847	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29848	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29848	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29850	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29850	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29851	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090			
29851	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29855	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090			
29855	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29856	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090			
29856	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29860	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29860	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29861	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29861	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29862	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29862	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29863	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29863	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29866	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29866	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
29867	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29867	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
29868	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29868	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
29870	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Oct09	
29870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	3	090		Oct09	
29870	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	090		Oct09	
29870	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	40.646	1		090		Oct09	
29870	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Oct09	
29870	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		090		Oct09	
29870	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		090		Oct09	
29870	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Oct09	
29870	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Oct09	
29870	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Oct09	
29870	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Oct09	
29870	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Oct09	
29870	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Oct09	
29870	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Oct09	
29870	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Oct09	
29870	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Oct09	
29870	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Oct09	
29870	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Oct09	
29871	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29871	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29873	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29873	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29874	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29874	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29875	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29875	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29876	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29876	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29877	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29877	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29879	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29879	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	May 7
29880	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 7
29881	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	May 7
29881	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 7
29882	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29882	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29883	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29883	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29884	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29884	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29885	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29885	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29886	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29886	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29887	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29887	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29888	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr08	ss
29888	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29889	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
29889	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29891	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29891	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29892	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29892	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29893	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	7	6	090			
29893	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090			
29893	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		090			
29893	PEAC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
29893	PEAC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090			
29893	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090			
29893	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
29893	PEAC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	3		090			
29893	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090			
29893	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		090			
29893	PEAC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		090			
29893	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	5		090			
29893	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		090			
29893	PEAC	"Cutters, Closures, Cautery"	SF026	"endoscopic blade, surgical"	item	40	2		090			
29893	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090			
29893	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
29893	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
29893	PEAC	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.645	1		090			
29893	PEAC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		090			
29893	PEAC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		090			
29893	PEAC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		090			
29893	PEAC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		090			
29893	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	20		090			
29893	PEAC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090			
29893	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090			
29893	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
29893	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		090			
29893	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		090			
29894	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29894	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29895	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29895	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29897	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
29897	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29898	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29898	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29899	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29899	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29900	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29900	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29901	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29901	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29902	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
29902	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
29904	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT08	20
29905	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	20
29906	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	20
29906	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	20
29907	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT08	20
29907	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	20
29914	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT11	1
29914	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT11	1
29915	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT11	1
29915	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT11	1
29916	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT11	1
29916	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT11	1
30000	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		010			
30000	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
30000	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
30000	PEAC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
30000	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
30000	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
30000	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
30000	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
30000	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
30000	PEAC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
30000	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
30000	PEAC	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	6.3	2		010			
30000	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
30000	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010			
30000	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
30000	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
30000	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
30000	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
30000	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
30000	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
30020	PEAC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		010			
30020	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
30020	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
30020	PEAC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
30020	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
30020	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
30020	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
30020	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
30020	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
30020	PEAC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
30020	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
30020	PEAC	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	6.3	2		010			
30020	PEAC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
30020	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010			
30020	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
30020	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
30020	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
30020	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
30020	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
30020	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
30100	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
30100	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
30100	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
30100	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		000			
30100	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
30100	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
30100	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
30100	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		000			
30100	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
30100	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
30100	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
30100	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
30100	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
30110	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
30110	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
30110	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
30110	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
30110	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
30110	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
30110	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
30110	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
30110	PEAC	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	6.3	1		010			
30110	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010			
30110	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
30110	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
30110	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
30110	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
30115	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
30115	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
30115	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30115	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
30115	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
30115	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
30115	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
30115	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
30115	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
30115	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
30115	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
30115	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
30115	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
30115	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		1	090		Mar04	I
30115	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
30115	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
30115	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
30117	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	3	2	090		Jan04	21
30117	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	21
30117	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Jan04	21
30117	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	3	2	090		Jan04	21
30117	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Jan04	21
30117	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	21
30117	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	21
30117	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Jan04	21
30117	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Jan04	21
30117	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Jan04	21
30117	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Jan04	21
30117	PEAC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	3	2	090		Jan04	21
30117	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	4	090		Jan04	21
30117	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
30117	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
30117	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
30117	PEAC	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	290	1		090		Jan04	21
30117	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		090		Jan04	21
30117	PEAC	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	6.3	1		090		Jan04	21
30117	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4	4	090		Jan04	21
30117	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	21
30117	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		090		Jan04	21
30117	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Jan04	21
30117	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		090		Jan04	21
30117	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
30118	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
30118	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
30118	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30118	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
30118	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
30118	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
30118	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
30118	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
30118	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
30118	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
30118	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
30118	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
30118	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		7	090		Mar04	I
30118	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		1	090		Mar04	I
30118	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
30118	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
30118	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
30120	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Mar04	I
30120	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar04	I
30120	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	6	4	090		Mar04	I
30120	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	2	090		Mar04	I
30120	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090		Mar04	I
30120	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	2	090		Mar04	I
30120	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	3	2	090		Mar04	I
30120	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar04	I
30120	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		090		Mar04	I
30120	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Mar04	I
30120	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	I
30120	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	I
30120	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		090		Mar04	I
30120	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		090		Mar04	I
30120	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Mar04	I
30120	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		090		Mar04	I
30120	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar04	I
30120	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	3	2	090		Mar04	I
30120	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar04	I
30120	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
30124	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
30124	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30124	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
30124	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
30124	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
30124	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
30124	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
30124	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		Mar04	I
30124	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		1	090		Mar04	I
30124	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		1	090		Mar04	I
30124	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
30124	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		1	090		Mar04	I
30124	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090		Mar04	I
30125	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
30125	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30125	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30125	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
30125	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30125	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30125	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30125	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30125	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30125	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30125	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30125	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
30125	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30125	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30130	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
30130	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
30130	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30130	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
30130	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
30130	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
30130	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
30130	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
30130	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
30130	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
30130	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
30130	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
30130	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
30130	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		1	090		Mar04	I
30130	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
30130	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
30130	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
30140	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
30140	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
30140	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30140	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30140	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
30140	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30140	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30140	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30140	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30140	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30140	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30140	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30140	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
30140	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		5	090		Mar04	I
30140	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30140	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
30140	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30150	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
30150	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30150	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30150	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
30150	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30150	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30150	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30150	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30150	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30150	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30150	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30150	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
30150	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
30150	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30150	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
30150	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30160	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
30160	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30160	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30160	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
30160	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30160	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30160	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30160	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30160	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30160	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30160	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30160	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
30160	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
30160	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30160	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
30160	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30200	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
30200	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
30200	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
30200	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
30200	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
30200	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		000			
30200	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
30200	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
30200	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
30210	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
30210	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
30210	PEAC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
30210	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
30210	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
30210	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
30210	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
30210	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
30210	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
30210	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
30210	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
30220	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
30220	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
30220	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
30220	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
30220	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
30220	PEAC	"Wound Care, Dressings"	SG072	"septal button prosthesis, silicone"	item	76.667	1		010			
30220	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010			
30220	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
30220	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
30220	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
30220	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	7		010			
30220	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
30300	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
30300	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
30300	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	010			
30300	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
30300	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
30300	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
30300	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010			
30300	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
30300	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
30300	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
30300	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
30300	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	4	2	010			
30300	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	4	2	010			
30300	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	8	4	010			
30300	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	8	4	010			
30300	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	2	1	010			
30310	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		2	010			
30310	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
30310	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
30310	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
30310	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
30310	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
30310	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
30310	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	010			
30310	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813		4	010			
30310	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
30310	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
30310	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
30310	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992		1	010			
30310	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	010			
30310	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229		2	010			
30310	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		2	010			
30310	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012		1	010			
30320	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
30320	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
30320	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30320	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
30320	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
30320	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
30320	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
30320	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
30320	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
30320	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
30320	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
30320	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
30320	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
30320	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		Mar04	I
30320	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
30320	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
30320	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
30400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
30400	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30400	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090		Mar04	I
30400	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
30400	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
30400	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
30400	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
30400	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
30400	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
30400	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		6	090		Mar04	I
30400	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
30400	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		12	090		Mar04	I
30400	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		Mar04	I
30400	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Mar04	I
30400	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		6	090		Mar04	I
30400	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090		Mar04	I
30410	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
30410	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30410	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090		Mar04	I
30410	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
30410	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
30410	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
30410	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
30410	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
30410	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
30410	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		6	090		Mar04	I
30410	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
30410	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		12	090		Mar04	I
30410	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		Mar04	I
30410	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Mar04	I
30410	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		6	090		Mar04	I
30410	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090		Mar04	I
30420	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
30420	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30420	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090		Mar04	I
30420	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
30420	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
30420	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
30420	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
30420	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
30420	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
30420	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		6	090		Mar04	I
30420	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
30420	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		12	090		Mar04	I
30420	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		Mar04	I
30420	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Mar04	I
30420	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		6	090		Mar04	I
30420	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090		Mar04	I
30430	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
30430	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30430	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090		Mar04	I
30430	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
30430	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
30430	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
30430	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
30430	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
30430	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
30430	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		6	090		Mar04	I
30430	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
30430	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		12	090		Mar04	I
30430	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		Mar04	I
30430	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Mar04	I
30430	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		6	090		Mar04	I
30430	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090		Mar04	I
30435	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
30435	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30435	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090		Mar04	I
30435	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
30435	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
30435	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
30435	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
30435	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
30435	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
30435	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		6	090		Mar04	I
30435	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
30435	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		12	090		Mar04	I
30435	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		Mar04	I
30435	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Mar04	I
30435	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		6	090		Mar04	I
30435	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090		Mar04	I
30450	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
30450	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30450	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090		Mar04	I
30450	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
30450	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
30450	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
30450	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
30450	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
30450	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
30450	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		6	090		Mar04	I
30450	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
30450	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		12	090		Mar04	I
30450	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		Mar04	I
30450	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090		Mar04	I
30450	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		6	090		Mar04	I
30450	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090		Mar04	I
30460	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
30460	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30460	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
30460	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
30460	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
30460	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
30460	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
30460	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
30460	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
30460	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
30460	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
30460	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
30460	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		1	090		Mar04	I
30460	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
30460	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
30460	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
30462	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
30462	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30462	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
30462	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
30462	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
30462	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
30462	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
30462	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
30462	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
30462	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
30462	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
30462	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
30462	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
30462	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
30462	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
30462	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
30465	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
30465	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30465	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
30465	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
30465	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
30465	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
30465	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
30465	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
30465	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
30465	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
30465	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
30465	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
30465	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
30465	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
30465	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
30465	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
30520	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
30520	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30520	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30520	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
30520	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30520	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30520	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30520	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30520	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30520	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30520	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30520	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
30520	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
30520	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30520	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
30520	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30540	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
30540	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
30540	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30540	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
30540	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30540	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30540	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30540	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30540	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30540	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30540	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30540	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
30540	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30540	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
30540	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30545	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
30545	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
30545	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
30545	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Mar04	I
30545	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
30545	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
30545	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
30545	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
30545	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
30545	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
30545	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
30545	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
30545	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
30545	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
30545	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
30560	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
30560	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
30560	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	010			
30560	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
30560	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
30560	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
30560	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
30560	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
30560	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
30560	PEAC	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	6.3	2		010			
30560	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010			
30560	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
30560	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
30560	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
30560	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
30560	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
30560	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	4	2	010			
30560	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	4	2	010			
30560	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	8	4	010			
30560	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	8	4	010			
30560	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	2	1	010			
30580	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
30580	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
30580	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
30580	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
30580	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
30580	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
30580	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
30580	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
30580	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
30580	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
30580	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
30580	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
30580	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
30580	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
30580	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
30580	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
30580	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
30580	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
30580	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
30580	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
30580	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
30580	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
30580	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
30580	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
30580	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
30580	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
30580	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
30580	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
30580	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
30580	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
30580	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
30600	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
30600	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
30600	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
30600	PEAC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
30600	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
30600	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
30600	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
30600	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
30600	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
30600	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
30600	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
30600	PEAC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
30600	PEAC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
30600	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
30600	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
30600	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
30600	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
30600	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
30600	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
30600	PEAC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
30600	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
30600	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
30600	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
30600	PEAC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		090		Aug03	6
30600	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
30600	PEAC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
30600	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		090		Aug03	6
30600	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
30600	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
30600	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
30600	PEAC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
30620	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
30620	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30620	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
30620	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
30620	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
30620	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
30620	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
30620	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
30620	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
30620	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
30620	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
30620	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
30620	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
30620	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
30620	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
30620	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
30630	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
30630	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30630	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30630	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
30630	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30630	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30630	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30630	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30630	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30630	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30630	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30630	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
30630	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
30630	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30630	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
30630	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30801	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		010		Mar04	I
30801	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	I
30801	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1	1	010		Mar04	I
30801	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	2	1	010		Mar04	I
30801	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	1	010		Mar04	I
30801	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010		Mar04	I
30801	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2	1	010		Mar04	I
30801	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	2	1	010		Mar04	I
30801	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		010		Mar04	I
30801	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	4		010		Mar04	I
30801	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar04	I
30801	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	1	010		Mar04	I
30801	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		1	010		Mar04	I
30801	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	10	5	010		Mar04	I
30801	PEAC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023	2	1	010		Mar04	I
30801	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	10	5	010		Mar04	I
30801	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2	1	010		Mar04	I
30801	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	I
30802	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		010		Mar04	I
30802	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	I
30802	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1	1	010		Mar04	I
30802	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	2	1	010		Mar04	I
30802	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	1	010		Mar04	I
30802	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010		Mar04	I
30802	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2	1	010		Mar04	I
30802	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	2	1	010		Mar04	I
30802	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		010		Mar04	I
30802	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	4		010		Mar04	I
30802	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar04	I
30802	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	1	010		Mar04	I
30802	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		1	010		Mar04	I
30802	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	10	5	010		Mar04	I
30802	PEAC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023	2	1	010		Mar04	I
30802	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	10	5	010		Mar04	I
30802	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2	1	010		Mar04	I
30802	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	I
30901	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
30901	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
30901	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
30901	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
30901	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
30901	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	0.5		000			
30901	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		000			
30901	PEAC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000			
30901	PEAC	"Pharmacy, Rx"	SH003	adrenalin topical	ml	0.97	1		000			
30901	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000			
30901	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000			
30901	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
30901	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	5		000			
30903	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
30903	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
30903	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
30903	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
30903	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
30903	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
30903	PEAC	"Accessory, Procedure"	SD071	epistaxis balloon	item	43.063	1		000			
30903	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
30903	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
30903	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	3		000			
30903	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000			
30903	PEAC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000			
30903	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000			
30903	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
30903	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	5		000			
30903	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		000			
30905	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
30905	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
30905	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
30905	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
30905	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
30905	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
30905	PEAC	"Accessory, Procedure"	SD071	epistaxis balloon	item	43.063	1		000			
30905	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
30905	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	3		000			
30905	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000			
30905	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000			
30905	PEAC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000			
30905	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000			
30905	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
30905	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	5		000			
30905	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		000			
30906	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
30906	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
30906	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
30906	PEAC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
30906	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
30906	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
30906	PEAC	"Accessory, Procedure"	SD071	epistaxis balloon	item	43.063	1		000			
30906	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
30906	PEAC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	3		000			
30906	PEAC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000			
30906	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000			
30906	PEAC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000			
30906	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000			
30906	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
30906	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	5		000			
30906	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		000			
30915	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
30915	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30915	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
30915	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
30915	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
30915	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
30915	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
30915	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
30915	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
30915	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
30915	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
30915	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
30915	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
30915	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
30915	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
30915	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
30920	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
30920	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
30920	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
30920	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
30920	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
30920	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
30920	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
30920	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
30920	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
30920	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
30920	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
30920	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
30920	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
30920	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
30920	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
30920	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
30930	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
30930	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
30930	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
30930	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
30930	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
30930	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
30930	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
30930	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
31000	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
31000	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
31000	PEAC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
31000	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
31000	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
31000	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		010			
31000	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		010			
31000	PEAC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
31000	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
31000	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2	1	010			
31000	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
31000	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	010			
31002	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	010			
31002	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
31002	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
31002	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
31002	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
31002	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
31002	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
31002	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	010			
31002	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813		4	010			
31002	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
31002	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
31002	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
31002	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992		1	010			
31002	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	010			
31002	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229		2	010			
31002	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		2	010			
31002	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012		1	010			
31020	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar04	I
31020	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	I
31020	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Mar04	I
31020	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	3	2	090		Mar04	I
31020	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	6	4	090		Mar04	I
31020	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	2	090		Mar04	I
31020	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090		Mar04	I
31020	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	2	090		Mar04	I
31020	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	3	2	090		Mar04	I
31020	PEAC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		090		Mar04	I
31020	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar04	I
31020	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		090		Mar04	I
31020	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar04	I
31020	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	2	090		Mar04	I
31020	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
31020	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Mar04	I
31020	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	I
31020	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	I
31020	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		090		Mar04	I
31020	PEAC	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	6.3	1		090		Mar04	I
31020	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	I
31020	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		090		Mar04	I
31020	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar04	I
31020	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Mar04	I
31020	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	4		090		Mar04	I
31020	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	3	2	090		Mar04	I
31020	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		090		Mar04	I
31020	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
31030	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar04	I
31030	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	I
31030	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar04	I
31030	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	I
31030	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	3	2	090		Mar04	I
31030	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	6	4	090		Mar04	I
31030	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	1	090		Mar04	I
31030	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090		Mar04	I
31030	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	2	090		Mar04	I
31030	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	3	2	090		Mar04	I
31030	PEAC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		090		Mar04	I
31030	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar04	I
31030	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2		090		Mar04	I
31030	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar04	I
31030	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6	2	090		Mar04	I
31030	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
31030	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Mar04	I
31030	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	I
31030	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	I
31030	PEAC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Mar04	I
31030	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar04	I
31030	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		090		Mar04	I
31030	PEAC	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	6.3	1		090		Mar04	I
31030	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	I
31030	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		090		Mar04	I
31030	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4		090		Mar04	I
31030	PEAC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Mar04	I
31030	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	4		090		Mar04	I
31030	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	3	2	090		Mar04	I
31030	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		090		Mar04	I
31030	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
31032	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31032	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
31032	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31032	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
31032	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
31032	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
31032	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
31032	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
31032	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
31032	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
31032	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
31032	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
31032	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
31032	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31032	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
31032	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31032	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
31040	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31040	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31040	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
31040	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
31040	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31040	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31040	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
31040	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
31040	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31040	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
31040	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
31040	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		7	090		Mar04	I
31040	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31040	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31040	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
31040	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
31050	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31050	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
31050	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31050	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
31050	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
31050	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
31050	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
31050	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
31050	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
31050	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
31050	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
31050	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
31050	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
31050	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		5	090		Mar04	I
31050	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
31050	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31050	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
31051	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31051	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
31051	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31051	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
31051	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
31051	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31051	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31051	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
31051	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
31051	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31051	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
31051	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
31051	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		6	090		Mar04	I
31051	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
31051	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31051	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
31051	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
31070	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31070	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
31070	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31070	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
31070	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
31070	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
31070	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
31070	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
31070	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
31070	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
31070	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		2	090		Mar04	I
31070	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Mar04	I
31070	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Mar04	I
31070	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
31070	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
31070	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31070	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090		Mar04	I
31075	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31075	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31075	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31075	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
31075	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
31075	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31075	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31075	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
31075	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
31075	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31075	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
31075	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
31075	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		7	090		Mar04	I
31075	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31075	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31075	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
31075	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
31080	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31080	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31080	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31080	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
31080	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31080	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31080	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31080	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31080	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31080	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31080	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
31080	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
31080	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
31080	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31080	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31080	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31080	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
31081	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31081	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31081	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31081	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
31081	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31081	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31081	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31081	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31081	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31081	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31081	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
31081	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
31081	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
31081	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31081	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31081	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31081	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
31084	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31084	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31084	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31084	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
31084	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31084	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31084	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31084	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31084	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31084	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31084	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
31084	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
31084	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
31084	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31084	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31084	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31084	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
31085	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31085	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31085	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31085	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
31085	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31085	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31085	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31085	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31085	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31085	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31085	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
31085	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
31085	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
31085	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31085	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31085	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31085	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
31086	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31086	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31086	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31086	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
31086	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31086	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31086	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31086	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31086	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31086	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31086	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		4	090		Mar04	I
31086	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
31086	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		8	090		Mar04	I
31086	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31086	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31086	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31086	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090		Mar04	I
31087	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31087	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31087	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31087	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
31087	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
31087	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31087	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31087	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
31087	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
31087	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31087	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
31087	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
31087	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		7	090		Mar04	I
31087	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31087	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31087	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
31087	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
31090	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31090	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
31090	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31090	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		10	090		Mar04	I
31090	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Mar04	I
31090	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
31090	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
31090	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5	090		Mar04	I
31090	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Mar04	I
31090	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Mar04	I
31090	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		5	090		Mar04	I
31090	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		5	090		Mar04	I
31090	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		10	090		Mar04	I
31090	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
31090	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Mar04	I
31090	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		5	090		Mar04	I
31090	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		5	090		Mar04	I
31200	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31200	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31200	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31200	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
31200	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
31200	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31200	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31200	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
31200	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
31200	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31200	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
31200	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
31200	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		7	090		Mar04	I
31200	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31200	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31200	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
31200	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
31201	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31201	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31201	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31201	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
31201	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
31201	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31201	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31201	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
31201	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
31201	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31201	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
31201	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
31201	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		7	090		Mar04	I
31201	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31201	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31201	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
31201	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
31205	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31205	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31205	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
31205	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		6	090		Mar04	I
31205	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
31205	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31205	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31205	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
31205	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
31205	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31205	PEAC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566		3	090		Mar04	I
31205	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		3	090		Mar04	I
31205	PEAC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		7	090		Mar04	I
31205	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090		Mar04	I
31205	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31205	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
31205	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		3	090		Mar04	I
31225	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31225	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
31225	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
31225	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31225	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
31225	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
31225	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
31225	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
31225	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
31225	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
31225	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
31225	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31225	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31225	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31225	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31230	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31230	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Mar04	I
31230	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
31230	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31230	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		8	090		Mar04	I
31230	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4.5	090		Mar04	I
31230	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5	090		Mar04	I
31230	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5.5	090		Mar04	I
31230	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5.5	090		Mar04	I
31230	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5.5	090		Mar04	I
31230	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5.5	090		Mar04	I
31230	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31230	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31230	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31230	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31231	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT13	Mar 3
31231	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	Mar 3
31231	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		CPT13	Mar 3
31231	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	Mar 3
31231	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000		CPT13	Mar 3
31231	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	Mar 3
31231	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT13	Mar 3
31231	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	Mar 3
31231	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	4.9	1		000		CPT13	Mar 3
31231	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT13	Mar 3
31231	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	12		000		CPT13	Mar 3
31231	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		000		CPT13	Mar 3
31231	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000		CPT13	Mar 3
31231	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	5		000		CPT13	Mar 3
31231	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT13	Mar 3
31231	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	10		000		CPT13	Mar 3
31231	RUC	Lab	SL464	Atomizer tips (disposable)	item		1		000		CPT13	Mar 3
31231	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT13	Mar 3
31233	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31233	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31233	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31233	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31233	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31233	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		000			
31233	PEAC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000			
31233	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		000			
31233	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31233	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
31233	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000			
31233	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31233	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31233	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
31233	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31233	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31233	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31233	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31233	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31235	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31235	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31235	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31235	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31235	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31235	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		000			
31235	PEAC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000			
31235	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	4		000			
31235	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31235	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
31235	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000			
31235	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31235	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31235	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
31235	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31235	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31235	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31235	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31235	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31237	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 32
31237	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 32
31237	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 32
31237	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 32
31237	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 32
31237	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 32
31237	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT14	May 32
31237	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 32
31237	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000		CPT14	May 32
31237	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	3		000		CPT14	May 32
31237	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		000		CPT14	May 32
31237	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		000		CPT14	May 32
31237	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000		CPT14	May 32
31237	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT14	May 32
31237	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 32
31237	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2		000		CPT14	May 32
31237	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000		CPT14	May 32
31237	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 32
31237	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000		CPT14	May 32
31237	RUC	Lab	SL464	Atomizer tips (disposable)	item		2		000		CPT14	May 32
31237	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2		000		CPT14	May 32
31237	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000		CPT14	May 32
31237	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000		CPT14	May 32
31238	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 32
31238	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 32
31238	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 32
31238	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT14	May 32
31238	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 32
31238	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 32
31238	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT14	May 32
31238	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 32
31238	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000		CPT14	May 32
31238	RUC	"Accessory, Procedure"	SD279	"Fibrillar, surgical"	item		1		000		CPT14	May 32
31238	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	3		000		CPT14	May 32
31238	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	2		000		CPT14	May 32
31238	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		000		CPT14	May 32
31238	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.027	1		000		CPT14	May 32
31238	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT14	May 32
31238	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 32
31238	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	2		000		CPT14	May 32
31238	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000		CPT14	May 32
31238	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT14	May 32
31238	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000		CPT14	May 32
31238	RUC	Lab	SL464	Atomizer tips (disposable)	item		2		000		CPT14	May 32
31238	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2		000		CPT14	May 32
31238	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000		CPT14	May 32
31238	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000		CPT14	May 32
31239	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	010		CPT14	May 32
31239	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		1	010		CPT14	May 32
31239	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	010		CPT14	May 32
31239	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010		CPT14	May 32
31239	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010		CPT14	May 32
31239	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010		CPT14	May 32
31290	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	010			
31290	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
31290	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
31290	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
31290	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
31290	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
31290	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
31290	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	010			
31290	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813		4	010			
31290	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
31290	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
31290	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
31290	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992		1	010			
31290	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	010			
31290	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229		2	010			
31290	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		2	010			
31290	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012		1	010			
31291	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	010			
31291	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
31291	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
31291	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
31291	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
31291	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
31291	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
31291	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	010			
31291	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813		4	010			
31291	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
31291	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
31291	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
31291	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992		1	010			
31291	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	010			
31291	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229		2	010			
31291	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		2	010			
31291	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012		1	010			
31292	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	010			
31292	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
31292	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
31292	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
31292	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
31292	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
31292	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
31292	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	010			
31292	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813		4	010			
31292	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
31292	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
31292	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992		1	010			
31292	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	010			
31292	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229		2	010			
31292	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		2	010			
31292	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012		1	010			
31293	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	010			
31293	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
31293	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
31293	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
31293	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
31293	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
31293	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
31293	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	010			
31293	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813		4	010			
31293	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
31293	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
31293	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
31293	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992		1	010			
31293	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	010			
31293	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229		2	010			
31293	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		2	010			
31293	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012		1	010			
31294	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	010			
31294	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
31294	PEAC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
31294	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
31294	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
31294	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
31294	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
31294	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	010			
31294	PEAC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813		4	010			
31294	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
31294	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
31294	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
31294	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992		1	010			
31294	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	010			
31294	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229		2	010			
31294	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		2	010			
31294	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012		1	010			
31295	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT11	2
31295	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	2
31295	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2599.86	0.5		000		CPT12	CMS
31295	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	2
31295	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	2
31295	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	2
31295	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT11	2
31295	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT11	2
31295	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	2
31295	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT11	2
31295	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	2
31295	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT11	2
31295	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	2
31295	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	2
31295	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	2
31295	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		000		CPT11	2
31295	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	5		000		CPT11	2
31295	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT11	2
31295	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		CPT11	2
31295	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	3		000		CPT11	2
31295	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT11	2
31295	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	2
31295	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	3		000		CPT11	2
31295	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		CPT11	2
31295	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	2
31295	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000		CPT11	2
31295	RUC	Lab	SL146	tubed culture media	item	0.849	1		000		CPT11	2
31295	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2		000		CPT11	2
31295	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000		CPT11	2
31296	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT11	2
31296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	2
31296	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2599.86	0.5		000		CPT12	CMS
31296	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	2
31296	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	2
31296	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	2
31296	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT11	2
31296	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT11	2
31296	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	2
31296	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT11	2
31296	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	2
31296	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT11	2
31296	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	2
31296	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	2
31296	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	2
31296	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		000		CPT11	2
31296	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	5		000		CPT11	2
31296	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT11	2
31296	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		CPT11	2
31296	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	3		000		CPT11	2
31296	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT11	2
31296	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	2
31296	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	3		000		CPT11	2
31296	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		CPT11	2
31296	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	2
31296	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000		CPT11	2
31296	RUC	Lab	SL146	tubed culture media	item	0.849	1		000		CPT11	2
31296	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2		000		CPT11	2
31296	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000		CPT11	2
31297	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT11	2
31297	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	2
31297	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2599.86	0.5		000		CPT12	CMS
31297	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	2
31297	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	2
31297	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	2
31297	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT11	2
31297	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT11	2
31297	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	2
31297	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT11	2
31297	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	2
31297	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT11	2
31297	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	2
31297	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	2
31297	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	2
31297	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		000		CPT11	2
31297	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	5		000		CPT11	2
31297	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT11	2
31297	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		000		CPT11	2
31297	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	3		000		CPT11	2
31297	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT11	2
31297	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	2
31297	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	3		000		CPT11	2
31297	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		CPT11	2
31297	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	2
31297	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000		CPT11	2
31297	RUC	Lab	SL146	tubed culture media	item	0.849	1		000		CPT11	2
31297	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2		000		CPT11	2
31297	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000		CPT11	2
31300	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
31300	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31300	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31300	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31300	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31300	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31300	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31300	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31300	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31300	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
31300	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31300	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
31300	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31300	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31300	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31320	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
31320	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31320	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31320	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2.5	090		Mar04	I
31320	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5	090		Mar04	I
31320	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3.5	090		Mar04	I
31320	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3.5	090		Mar04	I
31320	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Mar04	I
31320	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3.5	090		Mar04	I
31320	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		3.5	090		Mar04	I
31320	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3.5	090		Mar04	I
31320	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
31320	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31320	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31320	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31360	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
31360	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31360	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31360	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31360	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31360	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31360	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31360	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31360	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31360	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
31360	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31360	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
31360	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31360	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Mar04	I
31360	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31365	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
31365	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31365	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31365	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31365	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31365	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31365	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31365	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31365	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31365	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
31365	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31365	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
31365	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31365	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Mar04	I
31365	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31367	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31367	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31367	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31367	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3.5	090		Mar04	I
31367	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090		Mar04	I
31367	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4.5	090		Mar04	I
31367	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4.5	090		Mar04	I
31367	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Mar04	I
31367	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4.5	090		Mar04	I
31367	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4.5	090		Mar04	I
31367	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4.5	090		Mar04	I
31367	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31367	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31367	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31367	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31368	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31368	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31368	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31368	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4.5	090		Mar04	I
31368	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5	090		Mar04	I
31368	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5.5	090		Mar04	I
31368	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5.5	090		Mar04	I
31368	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5.5	090		Mar04	I
31368	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5.5	090		Mar04	I
31368	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		5.5	090		Mar04	I
31368	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5.5	090		Mar04	I
31368	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31368	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31368	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31368	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31370	PEAC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Mar04	I
31370	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31370	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31370	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31370	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3.5	090		Mar04	I
31370	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090		Mar04	I
31370	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4.5	090		Mar04	I
31370	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4.5	090		Mar04	I
31370	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Mar04	I
31370	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4.5	090		Mar04	I
31370	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4.5	090		Mar04	I
31370	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4.5	090		Mar04	I
31370	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31370	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31370	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31370	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31370	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31375	PEAC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Mar04	I
31375	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31375	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31375	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31375	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31375	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31375	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31375	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31375	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31375	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31375	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
31375	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31375	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31375	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31375	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31375	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31375	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31380	PEAC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Mar04	I
31380	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31380	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31380	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31380	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31380	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31380	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31380	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31380	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31380	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31380	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
31380	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31380	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31380	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31380	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31380	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31380	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31382	PEAC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Mar04	I
31382	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31382	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31382	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31382	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3.5	090		Mar04	I
31382	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090		Mar04	I
31382	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4.5	090		Mar04	I
31382	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4.5	090		Mar04	I
31382	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Mar04	I
31382	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4.5	090		Mar04	I
31382	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4.5	090		Mar04	I
31382	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4.5	090		Mar04	I
31382	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31382	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31382	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31382	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31382	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31390	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
31390	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31390	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31390	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5	090		Mar04	I
31390	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Mar04	I
31390	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Mar04	I
31390	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6	090		Mar04	I
31390	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090		Mar04	I
31390	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		6	090		Mar04	I
31390	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		6	090		Mar04	I
31390	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
31390	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
31390	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31390	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Mar04	I
31390	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31395	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
31395	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
31395	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31395	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		7	090		Mar04	I
31395	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Mar04	I
31395	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Mar04	I
31395	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		8	090		Mar04	I
31395	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		8	090		Mar04	I
31395	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		8	090		Mar04	I
31395	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		8	090		Mar04	I
31395	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
31395	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
31395	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31395	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Mar04	I
31395	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31400	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31400	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31400	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
31400	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		3	090		Mar04	I
31400	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31400	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31400	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Mar04	I
31400	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31400	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31400	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31400	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
31400	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
31400	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Mar04	I
31400	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31400	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		20	090		Mar04	I
31400	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31400	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31400	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		4	090		Mar04	I
31400	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
31420	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31420	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
31420	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31420	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		3	090		Mar04	I
31420	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		2	090		Mar04	I
31420	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31420	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31420	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Mar04	I
31420	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31420	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31420	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		Mar04	I
31420	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
31420	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
31420	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Mar04	I
31420	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31420	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		20	090		Mar04	I
31420	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31420	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31420	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		4	090		Mar04	I
31420	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
31505	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31505	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
31505	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
31505	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
31505	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	2		000			
31505	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31505	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31505	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31505	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31505	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31505	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31505	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31510	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31510	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31510	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31510	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31510	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31510	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
31510	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31510	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31510	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31510	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
31510	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31510	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31510	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31510	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31510	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31511	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31511	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31511	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31511	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31511	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
31511	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31511	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31511	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31511	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
31511	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31511	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31511	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31511	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31511	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31512	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31512	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31512	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31512	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31512	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31512	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
31512	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31512	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31512	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31512	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
31512	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31512	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31512	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31512	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31515	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31515	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31515	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31515	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31515	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31515	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
31515	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		000			
31515	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4		000			
31515	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31515	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31515	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31515	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
31515	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31515	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31515	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31515	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31515	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31525	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31525	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31525	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31525	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31525	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31525	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
31525	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		000			
31525	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4		000			
31525	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31525	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31525	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31525	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31525	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31525	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31525	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31525	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31570	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31570	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31570	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31570	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31570	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31570	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
31570	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		000			
31570	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4		000			
31570	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31570	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31570	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31570	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31570	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31570	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31570	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31570	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31575	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31575	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
31575	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
31575	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
31575	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000			
31575	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
31575	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31575	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31575	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
31575	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31575	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31575	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31575	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31575	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31576	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31576	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31576	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31576	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31576	PEAC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		000			
31576	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31576	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000			
31576	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31576	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
31576	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31576	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31576	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
31576	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
31576	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31576	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31576	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31576	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31576	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31577	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31577	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31577	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31577	PEAC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		000			
31577	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31577	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000			
31577	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31577	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
31577	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31577	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31577	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
31577	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
31577	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31577	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31577	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31577	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31577	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31578	PEAC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
31578	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31578	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31578	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31578	PEAC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		000			
31578	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31578	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000			
31578	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31578	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
31578	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31578	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31578	PEAC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
31578	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
31578	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31578	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31578	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31578	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31578	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31579	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31579	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31579	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
31579	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
31579	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
31579	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000			
31579	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
31579	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31579	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31579	PEAC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
31579	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31579	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31579	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31579	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31579	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31580	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31580	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31580	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31580	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
31580	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		3	090		Mar04	I
31580	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31580	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31580	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Mar04	I
31580	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31580	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31580	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31580	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31580	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31580	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
31580	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Mar04	I
31580	PEAC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		1	090		Mar04	I
31580	PEAC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		1	090		Mar04	I
31580	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31580	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		20	090		Mar04	I
31580	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
31580	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31580	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		4	090		Mar04	I
31580	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
31582	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		7	090		Mar04	I
31582	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Mar04	I
31582	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31582	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		7	090		Mar04	I
31582	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		6	090		Mar04	I
31582	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Mar04	I
31582	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Mar04	I
31582	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		7	090		Mar04	I
31582	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31582	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31582	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		7	090		Mar04	I
31582	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Mar04	I
31582	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31582	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		21	090		Mar04	I
31582	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Mar04	I
31582	PEAC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		1	090		Mar04	I
31582	PEAC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		1	090		Mar04	I
31582	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31582	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		35	090		Mar04	I
31582	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
31582	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		7	090		Mar04	I
31582	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		7	090		Mar04	I
31582	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
31584	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31584	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31584	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31584	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
31584	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		3	090		Mar04	I
31584	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31584	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31584	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Mar04	I
31584	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31584	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31584	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31584	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31584	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31584	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
31584	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Mar04	I
31584	PEAC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		1	090		Mar04	I
31584	PEAC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		1	090		Mar04	I
31584	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31584	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		20	090		Mar04	I
31584	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31584	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Mar04	I
31584	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		4	090		Mar04	I
31584	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
31587	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
31587	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31587	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		3	090		Mar04	I
31587	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		2	090		Mar04	I
31587	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31587	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31587	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Mar04	I
31587	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31587	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31587	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		Mar04	I
31587	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
31587	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		9	090		Mar04	I
31587	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
31587	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31587	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		15	090		Mar04	I
31587	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31587	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31587	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		3	090		Mar04	I
31587	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
31588	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31588	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Mar04	I
31588	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31588	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		3	090		Mar04	I
31588	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		2	090		Mar04	I
31588	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31588	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31588	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Mar04	I
31588	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31588	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		Mar04	I
31588	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
31588	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31588	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
31588	PEAC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		1	090		Mar04	I
31588	PEAC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		1	090		Mar04	I
31588	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		6	090		Mar04	I
31588	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		1	090		Mar04	I
31588	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31590	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		5	090		Mar04	I
31590	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
31590	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31590	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		5	090		Mar04	I
31590	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		4	090		Mar04	I
31590	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
31590	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
31590	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090		Mar04	I
31590	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31590	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31590	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5	090		Mar04	I
31590	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		10	090		Mar04	I
31590	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		15	090		Mar04	I
31590	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Mar04	I
31590	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31590	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		25	090		Mar04	I
31590	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31590	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Mar04	I
31590	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		5	090		Mar04	I
31590	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
31595	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
31595	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
31595	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31595	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		3	090		Mar04	I
31595	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		2	090		Mar04	I
31595	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
31595	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
31595	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Mar04	I
31595	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31595	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454		2	090		Mar04	I
31595	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		Mar04	I
31595	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
31595	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		9	090		Mar04	I
31595	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Mar04	I
31595	PEAC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064		5	090		Mar04	I
31595	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		15	090		Mar04	I
31595	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31595	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Mar04	I
31595	PEAC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939		3	090		Mar04	I
31595	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
31610	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31610	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
31610	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31610	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
31610	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	090		Mar04	I
31610	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
31610	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
31610	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Mar04	I
31610	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31610	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		2	090		Mar04	I
31610	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
31610	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31610	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
31610	PEAC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		1	090		Mar04	I
31610	PEAC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		1	090		Mar04	I
31610	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		4	090		Mar04	I
31610	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		1	090		Mar04	I
31610	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
31610	PEAC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		8	090		Mar04	I
31611	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Mar04	I
31611	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
31611	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
31611	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	090		Mar04	I
31611	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
31611	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
31611	PEAC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Mar04	I
31611	PEAC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090		Mar04	I
31611	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		2	090		Mar04	I
31611	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31611	PEAC	"Accessory, Procedure"	SD195	"prosthesis, voice button (Blom-Singer)"	item	48		1	090		Mar04	I
31611	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Mar04	I
31611	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		2	090		Mar04	I
31611	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		1	090		Mar04	I
31611	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Mar04	I
31612	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
31612	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
31612	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
31612	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
31612	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
31612	PEAC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000			
31612	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
31612	PEAC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000			
31612	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
31612	PEAC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
31612	PEAC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	8		000			
31612	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		000			
31612	PEAC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000			
31612	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
31612	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
31612	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31613	PEAC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2.5	090		Mar04	I
31613	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
31613	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31613	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1.5	090		Mar04	I
31613	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090		Mar04	I
31613	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2.5	090		Mar04	I
31613	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2.5	090		Mar04	I
31613	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2.5	090		Mar04	I
31613	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2.5	090		Mar04	I
31613	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		2.5	090		Mar04	I
31613	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31613	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31614	PEAC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		4	090		Mar04	I
31614	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31614	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31614	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31614	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31614	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31614	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31614	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31614	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31614	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090		Mar04	I
31614	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31614	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31615	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
31615	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
31615	PEAC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
31615	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
31615	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
31615	PEAC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
31615	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
31615	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	4		000			
31615	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
31615	PEAC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
31615	PEAC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	2		000			
31615	PEAC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2		000			
31615	PEAC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000			
31615	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	4		000			
31615	PEAC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
31620	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	40		ZZZ			
31620	RUC	"Accessory, Procedure"	SD205	"sheath, endoscope ultrasound balloon"	item	154	1		ZZZ			
31622	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31622	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31622	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31622	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31622	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar03	12
31622	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	2		000		Mar03	12
31622	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31622	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31622	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		Mar03	12
31622	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31622	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31622	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31622	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31622	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		Mar03	12
31622	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31623	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31623	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31623	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31623	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31623	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		Mar03	12
31623	PEAC	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	13	2		000		Mar03	12
31623	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31623	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31623	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		Mar03	12
31623	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31623	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31623	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31623	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31623	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		Mar03	12
31623	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31624	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31624	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31624	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31624	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31624	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar03	12
31624	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	3		000		Mar03	12
31624	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31624	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31624	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		Mar03	12
31624	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31624	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31624	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31624	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31624	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		Mar03	12
31624	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31625	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31625	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31625	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31625	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31625	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		Mar03	12
31625	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31625	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31625	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		Mar03	12
31625	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31625	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31625	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31625	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31625	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		Mar03	12
31625	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31626	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT10	2
31626	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT10	2
31626	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	2
31626	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT10	2
31626	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT10	2
31626	RUC	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	18	1		000		CPT10	2
31626	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	2		000		CPT10	2
31626	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT10	2
31626	RUC	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	11.88	1		000		CPT10	2
31626	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		CPT10	2
31626	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		CPT10	2
31626	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		CPT10	2
31626	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		CPT10	2
31626	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT10	2
31626	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT10	2
31626	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		CPT10	2
31626	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		CPT10	2
31627	Invoice	"Kit, Pack, Tray"	SA097	"kit, locatable guide, ext. working channel, w-b-scope adapter"	kit	1063.67	1		ZZZ	"31628, 31627"	March 2014	March 4
31627		"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	150		ZZZ	"31628, 31627"	March 2014	March 4
31627	Invoice	"Accessory, Procedure"	SD235	"sensor, patch, bronchosopy (for kit, locatable guide) (patient)"	item	3	3		ZZZ	"31628, 31627"	March 2014	March 4
31628	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		XXX		CPT10	3
31628	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX		CPT10	3
31628	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	3
31628	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT10	3
31628	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		XXX		CPT10	3
31628	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX		CPT10	3
31628	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		XXX		CPT10	3
31628	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		XXX		CPT10	3
31628	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		XXX		CPT10	3
31628	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		XXX		CPT10	3
31628	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		CPT10	3
31628	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		XXX		CPT10	3
31628	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		XXX		CPT10	3
31628	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		XXX		CPT10	3
31629	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31629	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31629	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31629	PEAC	"Hypodermic, IV"	SC043	"needle, transbronchial, cytology (Wang)"	item	58.05	3		000		Mar03	12
31629	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31629	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		Mar03	12
31629	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		Mar03	12
31629	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31629	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31629	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		Mar03	12
31629	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31629	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31629	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31629	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31629	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		Mar03	12
31629	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31634	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT11	3
31634	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	3
31634	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	3
31634	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT11	3
31634	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	3
31634	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		CPT11	3
31634	RUC	"Accessory, Procedure"	SD261	B5-2C Double Lumen Balloon 10 mm dia	item	126.75	1		000		CPT11	3
31634	RUC	"Accessory, Procedure"	SD262	Insuffalator - Boston Scientific	item	85	1		000		CPT11	3
31634	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	3
31634	RUC	"Wound Care, Dressings"	SG094	"Tisseel Fibrin Glue, 1 ml"	ml	262.01	4		000		CPT11	3
31634	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		CPT11	3
31634	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		CPT11	3
31634	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		CPT11	3
31634	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		CPT11	3
31634	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	3
31634	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT11	3
31634	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		CPT11	3
31635	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31635	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31635	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31635	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31635	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar03	12
31635	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		Mar03	12
31635	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31635	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31635	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31635	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31645	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31645	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31645	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31645	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31645	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar03	12
31645	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		Mar03	12
31645	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31645	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31645	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		Mar03	12
31645	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31645	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31645	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31645	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31645	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		Mar03	12
31645	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31646	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31646	PEAC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar03	12
31646	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
31646	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar03	12
31646	PEAC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar03	12
31646	PEAC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		Mar03	12
31646	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31646	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31646	PEAC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000		Mar03	12
31646	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31646	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31646	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31646	PEAC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	12
31646	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		000		Mar03	12
31646	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
31717	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar03	12
31717	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	cs
31717	PEAC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Mar03	12
31717	PEAC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	3		000		Mar03	12
31717	PEAC	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	13	2		000		Mar03	12
31717	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
31717	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		000		Mar03	12
31717	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Mar03	12
31717	PEAC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		000		Mar03	12
31717	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
31717	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		Mar03	12
31717	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		000		Mar03	12
31730	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	U
31730	PEAC	"Kit, Pack, Tray"	SA091	"tray, scoop, fast track system"	tray	750	1		000		Feb05	U
31730	PEAC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		Feb05	U
31730	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Feb05	U
31730	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Feb05	U
31730	PEAC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000		Feb05	U
31730	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		Feb05	U
31730	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	5		000		Feb05	U
31730	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Feb05	U
31750	PEAC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Mar04	I
31750	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
31750	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
31750	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31750	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
31750	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
31750	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
31750	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
31750	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
31750	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
31750	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
31750	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
31750	PEAC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
31750	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
31750	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
31750	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31750	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
31755	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		5	090		Mar04	I
31755	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Mar04	I
31755	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31755	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090		Mar04	I
31755	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Mar04	I
31755	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Mar04	I
31755	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		7	090		Mar04	I
31755	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		7	090		Mar04	I
31755	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		7	090		Mar04	I
31755	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		7	090		Mar04	I
31755	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Mar04	I
31755	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		20	090		Mar04	I
31755	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		10	090		Mar04	I
31755	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
31755	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		5	090		Mar04	I
31760	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
31760	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31766	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
31766	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31770	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
31770	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31775	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
31775	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31780	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
31780	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31781	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
31781	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31785	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
31785	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31786	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
31786	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31800	PEAC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
31800	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
31800	PEAC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
31800	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1.5	090		Mar04	I
31800	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090		Mar04	I
31800	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2.5	090		Mar04	I
31800	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2.5	090		Mar04	I
31800	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2.5	090		Mar04	I
31800	PEAC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		2.5	090		Mar04	I
31800	PEAC	"Accessory, Procedure"	SD070	endosheath	item	9.5		2.5	090		Mar04	I
31800	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2.5	090		Mar04	I
31800	PEAC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
31800	PEAC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
31800	PEAC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Mar04	I
31800	PEAC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
31805	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
31805	PERC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
31820	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	21
31820	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Jan04	21
31820	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	21
31820	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	21
31820	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Jan04	21
31820	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	090		Jan04	21
31820	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	21
31820	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	21
31820	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Jan04	21
31820	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Jan04	21
31820	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Jan04	21
31820	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Jan04	21
31820	PEAC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		090		Jan04	21
31820	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		090		Jan04	21
31820	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
31820	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
31820	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
31820	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Jan04	21
31820	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	21
31820	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Jan04	21
31820	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	1	090		Jan04	21
31820	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	12		090		Jan04	21
31820	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Jan04	21
31820	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Jan04	21
31820	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30	20	090		Jan04	21
31820	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
31820	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		090		Jan04	21
31825	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	21
31825	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Jan04	21
31825	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	21
31825	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	21
31825	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Jan04	21
31825	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	090		Jan04	21
31825	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	21
31825	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	21
31825	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Jan04	21
31825	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Jan04	21
31825	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Jan04	21
31825	PEAC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Jan04	21
31825	PEAC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		090		Jan04	21
31825	PEAC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		090		Jan04	21
31825	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
31825	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
31825	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
31825	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Jan04	21
31825	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	21
31825	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Jan04	21
31825	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	1	090		Jan04	21
31825	PEAC	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0026	12		090		Jan04	21
31825	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Jan04	21
31825	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Jan04	21
31825	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30	20	090		Jan04	21
31825	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
31825	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		090		Jan04	21
31830	PEAC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	21
31830	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Jan04	21
31830	PEAC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	21
31830	PEAC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	21
31830	PEAC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Jan04	21
31830	PEAC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	090		Jan04	21
31830	PEAC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	21
31830	PEAC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	21
31830	PEAC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Jan04	21
31830	PEAC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2	1	090		Jan04	21
31830	PEAC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	2	1	090		Jan04	21
31830	PEAC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
31830	PEAC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
31830	PEAC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
31830	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Jan04	21
31830	PEAC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	21
31830	PEAC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Jan04	21
31830	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2	1	090		Jan04	21
31830	PEAC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Jan04	21
31830	PEAC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Jan04	21
31830	PEAC	"Pharmacy, Rx"	SH084	Kenalog 40 inj	ml	1.83	4	2	090		Jan04	21
31830	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Jan04	21
31830	PEAC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30	20	090		Jan04	21
31830	PEAC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
31830	PEAC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		090		Jan04	21
32035	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
32035	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32035	PERC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Apr06	J
32035	PERC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Apr06	J
32035	PERC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090		Apr06	J
32035	PERC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Apr06	J
32035	PERC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090		Apr06	J
32035	PERC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074		1	090		Apr06	J
32035	PERC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090		Apr06	J
32035	PERC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090		Apr06	J
32035	PERC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Apr06	J
32036	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
32036	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32036	PERC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Apr06	J
32036	PERC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Apr06	J
32036	PERC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090		Apr06	J
32036	PERC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Apr06	J
32036	PERC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090		Apr06	J
32036	PERC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074		1	090		Apr06	J
32036	PERC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090		Apr06	J
32036	PERC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	090		Apr06	J
32036	PERC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Apr06	J
32096	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	May 8
32096	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32097	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	May 8
32097	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32098	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	May 8
32098	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	May 8
32100	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32110	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32110	NPRM	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
32120	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32120	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32124	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32124	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32140	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32140	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32141	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32141	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32150	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32150	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32151	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32151	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32160	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
32160	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32200	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
32200	PERC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
32215	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32215	NPRM	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32220	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
32220	NPRM	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32225	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32225	NPRM	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32310	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32310	NPRM	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32320	PERC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
32320	NPRM	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32400	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	12
32400	PEAC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		Mar03	12
32400	PEAC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Mar03	12
32400	PEAC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000		Mar03	12
32400	PEAC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Mar03	12
32400	PEAC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Mar03	12
32400	PEAC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Mar03	12
32400	PEAC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	12
32400	PEAC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Mar03	12
32400	PEAC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		Mar03	12
32400	PEAC	Infection Control	SM011	"cleaning brush, instruments"	item	1.95	1		000		Mar03	12
32400	PEAC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Mar03	12
32400	PEAC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	3		000		Mar03	12
32405	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	Feb 6
32405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	Feb 6
32405	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		000		CPT12	Feb 6
32405	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	Feb 6
32405	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		000		CPT12	Feb 6
32405	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT12	Feb 6
32405	RUC	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	19	1		000		CPT12	Feb 6
32405	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.477	3		000		CPT12	Feb 6
32405	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT12	Feb 6
32405	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT12	Feb 6
32405	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	Feb 6
32405	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	10		000		CPT12	Feb 6
32405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		CPT12	Feb 6
32440	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
32440	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32442	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32442	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32445	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
32445	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32480	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
32480	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32482	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
32482	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32484	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32484	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32486	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32486	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32488	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
32488	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32491	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
32491	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32503	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		RUC05	
32503	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
32504	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		RUC05	
32504	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
32505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32505	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32540	PEAC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
32540	PEAC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32550	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT08	rn
32550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	rn
32550	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1		000		CPT08	rn
32550	RUC	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	329	1		000		CPT08	rn
32550	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT08	rn
32550	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT08	rn
32550	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000		CPT08	rn
32550	RUC	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	31	2		000		CPT08	rn
32550	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	32		000		CPT08	rn
32552	Ruc	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT10	4
32552	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT10	4
32552	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		CPT10	4
32552	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		CPT10	4
32552	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT10	4
32552	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		CPT10	4
32552	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT10	4
32552	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT10	4
32552	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		CPT10	4
32552	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		CPT10	4
32552	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		CPT10	4
32553	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT10	2
32553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	2
32553	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		000		CPT10	2
32553	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT10	2
32553	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT10	2
32553	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT10	2
32553	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT10	2
32553	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	2
32553	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT10	2
32553	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT10	2
32553	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT10	2
32553	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT10	2
32553	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT10	2
32553	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000		CPT10	2
32553	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT10	2
32553	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT10	2
32553	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		000		CPT10	2
32553	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT10	2
32553	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		CPT10	2
32553	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000		CPT10	2
32553	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		000		CPT10	2
32553	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT10	2
32553	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000		CPT10	2
32553	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT10	2
32554	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 8
32554	RUC	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.382	1		000		CPT13	May 8
32554	RUC	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	26.06	1		000		CPT14	Final
32554	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 8
32554	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 8
32554	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT13	May 8
32554	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 8
32554	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15		000		CPT13	May 8
32555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 8
32555	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 8
32555	RUC	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.382	1		000		CPT13	May 8
32555	RUC	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	26.06	1		000		CPT14	Final
32555	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT13	May 8
32555	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT13	May 8
32555	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 8
32555	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 8
32555	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT13	May 8
32555	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT13	May 8
32555	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 8
32555	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15		000		CPT13	May 8
32555	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	3		000		CPT13	May 8
32556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 8
32556	RUC	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	329	1		000		CPT13	May 8
32556	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 8
32556	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 8
32556	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT13	May 8
32556	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 8
32556	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	25		000		CPT13	May 8
32556	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT13	May 8
32557	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 8
32557	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 8
32557	RUC	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	26.06	1		000		CPT14	Final
32557	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT13	May 8
32557	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 8
32557	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		000		CPT13	May 8
32557	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT13	May 8
32557	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT13	May 8
32557	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 8
32557	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 8
32557	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT13	May 8
32557	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000		CPT13	May 8
32557	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT13	May 8
32557	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT13	May 8
32560	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	5
32560	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	5
32560	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT10	5
32560	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000		CPT10	5
32560	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT10	5
32560	RUC	"Pharmacy, Rx"	SH070	"talc, sterile (Sclerosol) (4gm uou)"	item	107.5	1		000		CPT10	5
32561	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	5
32561	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	5
32561	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT10	5
32561	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000		CPT10	5
32561	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT10	5
32562	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	5
32562	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	5
32562	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT10	5
32562	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000		CPT10	5
32562	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT10	5
32650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32650	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32651	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32651	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32652	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
32652	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32653	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32653	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32654	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32654	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32655	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32655	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32656	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32656	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32658	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32658	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32659	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32659	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32661	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32661	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32662	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32662	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32663	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32663	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32664	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32664	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32665	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32665	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32666	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32666	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32669	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32669	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32670	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32670	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32671	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32671	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32672	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32672	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32673	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 8
32673	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	May 8
32800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32800	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
32810	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32815	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
32815	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
32820	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32851	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	5 Year
32851	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
32852	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	5 Year
32852	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	5 Year
32853	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	5 Year
32853	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	5 Year
32854	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	5 Year
32854	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT12	5 Year
32900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32900	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32905	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32905	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32906	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32906	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32940	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
32940	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
32960	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000			
32960	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
32960	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
32960	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
32960	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
32960	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
32960	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
32960	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000			
32960	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
32960	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
32960	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	10		000			
32960	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
32998	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT07	
32998	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT07	
32998	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT07	
32998	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT07	
32998	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT07	
32998	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT07	
32998	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT07	
32998	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		000		CPT07	
32998	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT07	
32998	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT07	
32998	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT07	
32998	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT07	
32998	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT07	
32998	RUC	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	1995	1		000		CPT07	
32998	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT07	
32998	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		000		CPT07	
32998	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT07	
32998	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		CPT07	
32998	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000		CPT07	
32998	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT07	
32998	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT07	
32998	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT07	
32998	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT07	
32998	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT07	
32998	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT07	
33015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33015	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33020	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33025	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33025	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		CPT12	5 Year
33030	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33031	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	5 Year
33031	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		2	090		CPT12	5 Year
33050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33050	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		CPT12	5 Year
33120	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33130	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33140	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33202	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
33202	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33203	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
33206	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33206	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33207	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33207	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33208	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33208	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33212	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33212	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33213	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33213	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33214	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33214	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
33216	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33216	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33217	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33217	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33218	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33218	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33220	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33221	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33222	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33222	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33223	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33223	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33227	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33228	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33228	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33229	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33229	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33230	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33231	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33231	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33233	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33233	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33234	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33234	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33235	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33235	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33236	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33236	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33237	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33237	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33238	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
33238	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33240	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33241	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33241	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33243	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33243	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33244	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
33244	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33249	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33249	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33250	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33251	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33251	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33254	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
33254	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33255	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
33255	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33256	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
33256	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33257	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	ZZZ		CPT08	22
33257	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	ZZZ		CPT08	22
33258	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	ZZZ		CPT08	22
33258	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	ZZZ		CPT08	22
33259	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	ZZZ		CPT08	22
33259	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	ZZZ		CPT08	22
33261	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33261	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33262	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33262	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33263	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33263	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33264	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	May 9
33264	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	May 9
33265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
33265	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33266	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
33266	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	33262	May 2014	May 7
33270	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	33262	May 2014	May 7
33271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	33262	May 2014	May 7
33271	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	33262	May 2014	May 7
33272	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	33262	May 2014	May 7
33272	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	33262	May 2014	May 7
33273	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	33262	May 2014	May 7
33273	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	33262	May 2014	May 7
33282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT14	May 33
33282	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	May 33
33284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT14	May 33
33284	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	May 33
33300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33300	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33305	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33310	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33315	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		CPT12	5 Year
33315	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33320	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33321	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33321	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33322	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33322	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33330	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33335	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33335	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33400	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33401	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33401	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33403	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33403	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33404	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33404	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT13	May 43
33405	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 43
33406	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33406	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33410	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33411	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33411	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33412	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	5 Year
33412	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33413	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33413	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33414	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33414	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33415	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33416	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33416	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
33417	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33417	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33418	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	37215	May 2014	May 8
33420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33420	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33422	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33422	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33425	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33426	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33426	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33427	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33427	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33430	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT13	May 43
33430	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 43
33460	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33460	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33463	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33463	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33464	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33464	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33465	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33465	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33468	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		CPT12	5 Year
33468	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33470	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33470	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33471	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33471	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33474	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33474	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33475	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
33475	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33476	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33476	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33478	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33478	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33496	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33496	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33501	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33502	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33502	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
33503	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33503	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33504	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33504	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33505	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33506	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33506	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33507	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	88170	RUC05	
33507	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33510	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33511	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33511	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33512	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
33512	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33513	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33513	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33514	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33514	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33516	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33516	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		2	090			
33533	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT13	May 43
33533	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT13	May 43
33534	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33534	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33535	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33535	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33536	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33536	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33542	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33542	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33545	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33548	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
33548	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33600	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33602	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33602	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33606	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33608	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33608	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33610	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33611	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33611	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33612	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33612	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33615	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33617	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33617	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33619	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Apr06	J
33619	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT11	4
33620	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	4
33621	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT11	4
33621	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	4
33622	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT11	4
33622	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	4
33641	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33641	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
33645	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		CPT12	5 Year
33645	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33647	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	5 Year
33647	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33660	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33665	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33665	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33670	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33670	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33675	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
33675	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33676	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
33676	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33677	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
33677	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33681	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33681	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33684	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33684	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33688	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33688	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33690	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33690	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33692	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	5 Year
33692	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33694	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33694	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33697	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33697	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33702	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT12	5 Year
33710	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33720	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33722	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33722	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33724	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
33724	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33726	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
33726	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
33730	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33730	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33732	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33732	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33735	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33735	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33736	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33736	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33737	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33737	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33750	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33755	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33755	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33762	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33762	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33764	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33764	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33766	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33766	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33767	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33767	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33770	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33770	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33771	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33771	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33774	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33774	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33775	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33775	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33776	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33776	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33777	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33777	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33778	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33778	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33779	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33779	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33780	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33780	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33781	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33781	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33782	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT10	6
33782	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT10	6
33783	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT10	6
33783	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT10	6
33786	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33786	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33788	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33788	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33800	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33802	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33802	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33803	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33803	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33813	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33813	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33814	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33814	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33820	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33822	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33822	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33824	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33824	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33840	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33845	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33851	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33851	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33852	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33852	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33853	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33853	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33860	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33863	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
33863	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33864	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT08	23
33864	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT08	23
33870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33870	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33875	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	5 Year
33875	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT12	5 Year
33877	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
33877	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
33880	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33881	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
33881	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33883	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
33883	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33886	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
33886	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		CPT12	5 Year
33910	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33915	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33915	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33916	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		CPT12	5 Year
33916	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33917	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33917	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33920	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33922	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
33922	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
33925	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	88170	RUC05	
33925	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33926	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	88170	RUC05	
33926	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
33935	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	T
33935	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
33945	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	T
33945	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
33971	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
33971	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
33974	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
33974	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
34001	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34051	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34051	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34101	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
34101	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
34111	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34151	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
34151	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34201	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
34201	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34203	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34203	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34401	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34401	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34421	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
34421	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34451	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34451	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34471	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34471	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34490	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
34490	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
34501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34501	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34502	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34502	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34510	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
34520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34520	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
34520	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
34530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
34530	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
34530	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
34530	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
34800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
34800	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34802	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
34802	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34803	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
34803	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
34804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
34804	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34805	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
34805	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
34825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
34825	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
34830	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
34831	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34832	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
34832	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
34900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
34900	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
35001	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
35002	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
35005	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35011	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35011	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35013	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35013	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35021	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35021	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35022	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35022	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35045	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35045	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35045	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35081	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35081	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35082	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35082	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35091	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35091	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35092	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35092	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35102	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35102	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35103	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35103	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35111	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
35112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35112	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35121	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35121	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35122	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35122	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35131	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35131	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35132	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35132	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35141	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35141	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35142	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35142	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35151	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35151	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35152	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35152	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35180	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35182	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35182	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35184	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35184	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35188	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT12	5 Year
35188	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35189	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35189	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35190	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35201	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35201	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35206	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35206	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35206	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35206	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35207	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35207	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35207	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35207	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35211	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35211	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35216	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35216	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35221	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35226	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35226	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35226	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35231	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35231	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35236	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35236	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35236	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35236	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35241	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35241	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35246	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35246	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
35251	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35251	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35256	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35256	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		2	090			
35256	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35256	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35261	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35261	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35266	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35266	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35266	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35266	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35271	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35276	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35276	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35281	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35286	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35286	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35286	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35301	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT14	Mar 3
35301	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Mar 3
35302	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35302	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35303	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35304	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35304	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35305	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35311	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35311	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35321	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35321	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35331	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35331	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35341	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
35341	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35351	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
35351	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35355	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
35355	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35361	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35361	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35363	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35363	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35371	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35371	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35372	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35372	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35471	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Jan04	9
35471	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	9
35471	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		Jan04	9
35471	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Jan04	9
35471	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		Jan04	9
35471	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Jan04	9
35471	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	9
35471	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Jan04	9
35471	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		Jan04	9
35471	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		Jan04	9
35471	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Jan04	9
35471	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	24.9	1		000		Jan04	9
35471	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	2		000		Jan04	9
35471	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		000		Jan04	9
35471	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		Jan04	9
35471	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		Jan04	9
35471	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		Jan04	9
35471	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		Jan04	9
35471	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Jan04	9
35471	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Jan04	9
35472	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Jan04	9
35472	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	9
35472	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Jan04	9
35472	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Jan04	9
35472	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		Jan04	9
35472	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		Jan04	9
35472	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Jan04	9
35472	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		000		Jan04	9
35472	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Jan04	9
35472	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Jan04	9
35472	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Jan04	9
35472	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	24.9	1		000		Jan04	9
35472	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	243.5	2		000		Jan04	9
35472	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		Jan04	9
35472	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		Jan04	9
35472	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		Jan04	9
35472	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		Jan04	9
35472	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Jan04	9
35472	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Jan04	9
35475	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 44
35475	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT13	May 44
35475	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT13	May 44
35475	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 44
35475	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	24.9	1		000		CPT13	May 44
35475	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	243.5	2		000		CPT13	May 44
35475	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		CPT13	May 44
35475	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		CPT13	May 44
35475	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT13	May 44
35476	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 44
35476	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT13	May 44
35476	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT13	May 44
35476	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 44
35476	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	24.9	1		000		CPT13	May 44
35476	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	243.5	2		000		CPT13	May 44
35476	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		CPT13	May 44
35476	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		CPT13	May 44
35476	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT13	May 44
35501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35501	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35501	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35506	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35506	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35508	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35508	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35509	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35509	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35509	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
35510	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
35511	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35511	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35512	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
35512	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
35515	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35515	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35516	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35516	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35518	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35518	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35521	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35521	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35522	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
35522	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
35523	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT08	25
35523	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT08	25
35523	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT08	25
35525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
35525	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
35526	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35526	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35531	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35531	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35533	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35533	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35535	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	7
35535	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	7
35536	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35536	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35537	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
35537	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35538	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
35538	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35539	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
35539	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
35540	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35556	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35558	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35558	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35560	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35560	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35563	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35563	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35565	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35565	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35566	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35566	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	8
35570	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	8
35571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35571	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35583	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35583	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35585	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35585	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
35585	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
35585	RUC	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090			
35585	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		4	090			
35587	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35587	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35587	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
35587	RUC	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090			
35601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35601	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35601	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35606	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35612	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
35612	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35616	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35616	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35621	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35621	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35623	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35623	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35626	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35626	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35631	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35631	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35632	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	9
35632	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	9
35633	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	9
35633	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	9
35634	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	9
35634	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	9
35636	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35636	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35637	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
35637	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35638	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
35638	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35642	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35642	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35645	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35645	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35646	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35646	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35647	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
35647	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35650	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35654	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35654	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35656	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35656	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35661	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35661	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35663	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35663	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35665	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35665	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35666	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35666	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35666	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
35666	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
35666	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
35666	RUC	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090			
35666	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		6	090			
35666	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
35666	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		100	090			
35666	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		10	090			
35666	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
35671	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35671	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35671	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		9	090			
35671	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090			
35671	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
35671	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		54	090			
35671	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		90	090			
35671	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		9	090			
35691	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35691	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35693	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35693	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35694	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35694	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35695	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35695	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35701	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35701	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35721	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35721	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35721	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35721	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35741	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35741	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35741	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35741	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35761	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35761	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35761	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
35800	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
35840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
35840	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT12	5 Year
35860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
35860	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT12	5 Year
35870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
35870	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35875	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35875	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35875	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35875	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35876	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35876	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35876	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35876	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35879	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35879	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	35301		
35879	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090	35301		
35881	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
35881	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	35301		
35881	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090	35301		
35881	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		360	090	35301		
35881	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409		2	090	35301		
35883	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35883	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35884	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
35884	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
35901	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
35901	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35901	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35901	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35903	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35903	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
35903	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
35903	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		11	090			
35903	RUC	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090			
35903	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
35905	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35905	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
35907	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
35907	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
36000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
36000	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
36000	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
36000	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX			
36000	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
36000	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		XXX			
36000	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
36000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
36002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36002	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000			
36002	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000			
36002	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		000			
36002	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		000			
36002	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36002	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000			
36002	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.08	2		000			
36002	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36002	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000			
36002	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36005	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000	0		
36005	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
36005	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000	0		
36005	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
36005	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000			
36005	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000			
36005	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
36005	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36005	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36005	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
36005	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36005	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
36005	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
36005	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000			
36010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36010	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36010	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36010	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	9
36010	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36010	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36010	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36010	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		XXX		Jan04	9
36010	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36010	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36010	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36010	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36010	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36010	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36010	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36010	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX		Jan04	9
36010	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36011	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36011	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36011	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36011	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36011	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36011	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36011	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36011	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36011	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36011	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36011	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36011	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36011	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36011	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36011	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36011	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36011	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36011	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36011	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36012	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36012	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36012	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36012	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36012	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36012	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36012	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36012	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36012	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36012	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36012	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36012	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36012	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36012	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36012	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36012	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36012	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36012	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36012	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36013	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36013	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36013	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36013	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36013	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36013	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36013	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36013	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36013	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36013	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36013	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36013	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36013	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36013	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36013	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36013	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36013	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36013	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36013	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36014	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36014	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36014	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36014	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36014	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36014	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36014	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36014	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36014	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36014	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36014	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36014	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36014	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36014	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36014	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36014	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36014	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36014	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36014	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36015	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36015	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36015	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36015	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36015	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36015	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36015	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36015	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36015	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36015	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36015	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36015	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36015	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36015	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36015	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36015	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36015	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36015	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36100	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36100	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36100	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36100	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36100	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36100	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36100	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		XXX		Jan04	9
36100	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36100	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36100	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36100	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36100	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX		Jan04	9
36100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36120	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36120	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36120	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36120	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36120	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36120	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		XXX		Jan04	9
36120	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36120	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36120	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36120	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36120	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36120	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36120	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36140	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36140	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36140	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36140	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36140	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36140	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		XXX		Jan04	9
36140	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36140	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36140	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36140	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36140	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36140	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36140	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36147	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX		CPT10	29
36147	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	29
36147	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		CPT10	29
36147	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		CPT10	29
36147	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT10	29
36147	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		CPT10	29
36147	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		CPT10	29
36147	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		CPT10	29
36147	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		XXX		CPT10	29
36147	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		CPT10	29
36147	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		CPT10	29
36147	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT10	29
36147	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		CPT10	29
36147	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT10	29
36147	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	40		XXX		CPT10	29
36147	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		CPT10	29
36147	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		CPT10	29
36147	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX		CPT10	29
36147	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		CPT10	29
36147	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT10	29
36148	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		ZZZ		CPT10	29
36148	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		ZZZ		CPT10	29
36148	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		ZZZ		CPT10	29
36148	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ		CPT10	29
36148	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		ZZZ		CPT10	29
36148	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		ZZZ		CPT10	29
36160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36160	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36160	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36160	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36160	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36160	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36160	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		XXX		Jan04	9
36160	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36160	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36160	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36160	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36160	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36160	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36160	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36200	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX		CPT12	Feb 8
36200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	Feb 8
36200	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		CPT12	Feb 8
36200	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		CPT12	Feb 8
36200	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT12	Feb 8
36200	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		CPT12	Feb 8
36200	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		CPT12	Feb 8
36200	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		CPT12	Feb 8
36200	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		CPT12	Feb 8
36200	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		CPT12	Feb 8
36200	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		XXX		CPT12	Feb 8
36200	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2		XXX		CPT12	Feb 8
36200	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		CPT12	Feb 8
36200	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		CPT12	Feb 8
36215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36215	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36215	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36215	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36215	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36215	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36215	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36215	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36215	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36215	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36215	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36215	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36215	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36215	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36215	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36215	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36215	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36215	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36215	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36216	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36216	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36216	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36216	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36216	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36216	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36216	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36216	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36216	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36216	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36216	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36216	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36216	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36216	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36216	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36216	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36216	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36216	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36216	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36217	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	9
36217	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		Jan04	9
36217	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		Jan04	9
36217	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	9
36217	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		Jan04	9
36217	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		Jan04	9
36217	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		Jan04	9
36217	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		Jan04	9
36217	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		Jan04	9
36217	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		XXX		Jan04	9
36217	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		Jan04	9
36217	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		XXX		Jan04	9
36217	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		Jan04	9
36217	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		Jan04	9
36217	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Jan04	9
36217	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		Jan04	9
36217	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Jan04	9
36217	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		Jan04	9
36217	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		Jan04	9
36217	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		Jan04	9
36217	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		Jan04	9
36218	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		ZZZ		Jan04	9
36218	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		ZZZ		Jan04	9
36218	RUC	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.775	1		ZZZ		Jan04	9
36221	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT13	May 12
36221	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 12
36221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 12
36221	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 12
36221	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT13	May 12
36221	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 12
36221	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT13	May 12
36221	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 12
36221	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 12
36221	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT13	May 12
36221	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 12
36221	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT13	May 12
36221	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT13	May 12
36221	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT13	May 12
36221	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT13	May 12
36221	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT13	May 12
36221	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT13	May 12
36221	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT13	May 12
36221	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT13	May 12
36221	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT13	May 12
36221	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 12
36221	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT13	May 12
36221	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT13	May 12
36221	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT13	May 12
36221	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT13	May 12
36221	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT13	May 12
36221	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT13	May 12
36222	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT13	May 12
36222	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 12
36222	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 12
36222	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 12
36222	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT13	May 12
36222	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 12
36222	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT13	May 12
36222	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 12
36222	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 12
36222	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT13	May 12
36222	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT13	May 12
36222	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT13	May 12
36222	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT13	May 12
36222	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT13	May 12
36222	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 12
36222	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT13	May 12
36222	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT13	May 12
36222	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT13	May 12
36222	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT13	May 12
36222	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT13	May 12
36222	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT13	May 12
36223	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT13	May 12
36223	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 12
36223	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 12
36223	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 12
36223	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT13	May 12
36223	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 12
36223	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT13	May 12
36223	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 12
36223	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 12
36223	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT13	May 12
36223	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT13	May 12
36223	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT13	May 12
36223	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT13	May 12
36223	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT13	May 12
36223	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 12
36223	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT13	May 12
36223	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT13	May 12
36223	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT13	May 12
36223	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT13	May 12
36223	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT13	May 12
36223	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT13	May 12
36224	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT13	May 12
36224	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 12
36224	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 12
36224	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 12
36224	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT13	May 12
36224	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 12
36224	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT13	May 12
36224	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 12
36224	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 12
36224	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT13	May 12
36224	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT13	May 12
36224	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT13	May 12
36224	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT13	May 12
36224	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT13	May 12
36224	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 12
36224	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT13	May 12
36224	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT13	May 12
36224	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT13	May 12
36224	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT13	May 12
36224	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT13	May 12
36224	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT13	May 12
36225	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT13	May 12
36225	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 12
36225	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 12
36225	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 12
36225	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT13	May 12
36225	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 12
36225	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT13	May 12
36225	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 12
36225	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 12
36225	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT13	May 12
36225	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT13	May 12
36225	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT13	May 12
36225	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT13	May 12
36225	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT13	May 12
36225	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 12
36225	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT13	May 12
36225	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT13	May 12
36225	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT13	May 12
36225	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT13	May 12
36225	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT13	May 12
36225	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT13	May 12
36226	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT13	May 12
36226	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 12
36226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 12
36226	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 12
36226	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT13	May 12
36226	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 12
36226	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT13	May 12
36226	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 12
36226	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 12
36226	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT13	May 12
36226	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT13	May 12
36226	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT13	May 12
36226	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT13	May 12
36226	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT13	May 12
36226	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 12
36226	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT13	May 12
36226	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT13	May 12
36226	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT13	May 12
36226	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT13	May 12
36226	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT13	May 12
36226	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT13	May 12
36228	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.094	4		ZZZ		CPT14	Final
36228	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		ZZZ		CPT13	May 12
36228	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		ZZZ		CPT13	May 12
36245	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		XXX		CPT14	Mar 4
36245	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX		CPT14	Mar 4
36245	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	Mar 4
36245	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		CPT14	Mar 4
36245	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		XXX		CPT14	Mar 4
36245	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT14	Mar 4
36245	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		CPT14	Mar 4
36245	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		CPT14	Mar 4
36245	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		XXX		CPT14	Mar 4
36245	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		XXX		CPT14	Mar 4
36245	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		CPT14	Mar 4
36245	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		XXX		CPT14	Mar 4
36245	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		XXX		CPT14	Mar 4
36245	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		XXX		CPT14	Mar 4
36245	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		CPT14	Mar 4
36245	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		XXX		CPT14	Mar 4
36245	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		XXX		CPT14	Mar 4
36245	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		CPT14	Mar 4
36245	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		CPT14	Mar 4
36245	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		XXX		CPT14	Mar 4
36245	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX		CPT14	Mar 4
36245	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		CPT14	Mar 4
36245	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		CPT14	Mar 4
36245	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		CPT14	Mar 4
36245	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		CPT14	Mar 4
36245	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		XXX		CPT14	Mar 4
36245	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		CPT14	Mar 4
36245	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT14	Mar 4
36246	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX		CPT12	Feb 8
36246	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	Feb 8
36246	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		CPT12	Feb 8
36246	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		CPT12	Feb 8
36246	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT12	Feb 8
36246	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		CPT12	Feb 8
36246	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		CPT12	Feb 8
36246	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		CPT12	Feb 8
36246	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		CPT12	Feb 8
36246	RUC	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	13	1		XXX		CPT12	Feb 8
36246	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		CPT12	Feb 8
36246	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		CPT12	Feb 8
36246	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		CPT12	Feb 8
36246	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT12	Feb 8
36246	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		CPT12	Feb 8
36246	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT12	Feb 8
36246	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		CPT12	Feb 8
36246	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		CPT12	Feb 8
36246	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		CPT12	Feb 8
36246	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		CPT12	Feb 8
36247	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX		CPT12	Feb 8
36247	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	Feb 8
36247	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		XXX		CPT12	Feb 8
36247	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		CPT12	Feb 8
36247	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT12	Feb 8
36247	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		XXX		CPT12	Feb 8
36247	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		CPT12	Feb 8
36247	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		CPT12	Feb 8
36247	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		XXX		CPT12	Feb 8
36247	RUC	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	13	1		XXX		CPT12	Feb 8
36247	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		XXX		CPT12	Feb 8
36247	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		XXX		CPT12	Feb 8
36247	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		XXX		CPT12	Feb 8
36247	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		XXX		CPT12	Feb 8
36247	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		CPT12	Feb 8
36247	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT12	Feb 8
36247	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		CPT12	Feb 8
36247	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT12	Feb 8
36247	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		XXX		CPT12	Feb 8
36247	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX		CPT12	Feb 8
36247	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		CPT12	Feb 8
36247	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		CPT12	Feb 8
36248	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		ZZZ		Jan04	9
36248	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		ZZZ		Jan04	9
36251	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	May 10
36251	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	May 10
36251	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 10
36251	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	May 10
36251	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT12	May 10
36251	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 10
36251	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	May 10
36251	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	May 10
36251	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT12	May 10
36251	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT12	May 10
36251	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT12	May 10
36251	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	May 10
36251	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT12	May 10
36251	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	May 10
36251	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	May 10
36251	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT12	May 10
36251	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT12	May 10
36251	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	May 10
36251	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	May 10
36251	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	May 10
36251	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT12	May 10
36251	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	May 10
36251	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT12	May 10
36251	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	May 10
36251	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	May 10
36251	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT12	May 10
36251	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	May 10
36251	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	May 10
36252	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	May 10
36252	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	May 10
36252	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 10
36252	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	May 10
36252	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT12	May 10
36252	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 10
36252	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	May 10
36252	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	May 10
36252	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT12	May 10
36252	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT12	May 10
36252	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT12	May 10
36252	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	May 10
36252	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT12	May 10
36252	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	May 10
36252	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	May 10
36252	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT12	May 10
36252	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT12	May 10
36252	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	May 10
36252	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	May 10
36252	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	May 10
36252	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT12	May 10
36252	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	May 10
36252	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT12	May 10
36252	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	May 10
36252	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	May 10
36252	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT12	May 10
36252	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	May 10
36252	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	May 10
36253	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	May 10
36253	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	May 10
36253	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 10
36253	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	May 10
36253	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT12	May 10
36253	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 10
36253	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	May 10
36253	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	May 10
36253	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT12	May 10
36253	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT12	May 10
36253	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT12	May 10
36253	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	May 10
36253	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	May 10
36253	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	May 10
36253	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT12	May 10
36253	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	May 10
36253	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT12	May 10
36253	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	May 10
36253	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	May 10
36253	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT12	May 10
36253	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	May 10
36253	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	May 10
36254	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	May 10
36254	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	May 10
36254	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 10
36254	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	May 10
36254	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT12	May 10
36254	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 10
36254	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	May 10
36254	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	May 10
36254	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT12	May 10
36254	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT12	May 10
36254	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT12	May 10
36254	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	May 10
36254	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	May 10
36254	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	May 10
36254	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT12	May 10
36254	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	May 10
36254	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT12	May 10
36254	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	May 10
36254	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	May 10
36254	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT12	May 10
36254	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	May 10
36254	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	May 10
36260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
36260	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
36260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
36260	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
36261	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
36261	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
36262	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
36262	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
36400	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
36400	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
36400	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
36400	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
36400	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
36405	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
36405	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
36405	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
36405	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
36405	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
36406	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
36406	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
36406	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
36406	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
36406	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
36410	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
36410	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
36410	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
36410	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
36410	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
36430	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Mar04	N
36430	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Mar04	N
36430	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Mar04	N
36430	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	1		XXX		Mar04	N
36430	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Mar04	N
36430	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Mar04	N
36430	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX		Mar04	N
36430	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	1		XXX		Mar04	N
36430	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		XXX		Mar04	N
36430	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Mar04	N
36430	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Mar04	N
36470	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010		CPT12	5 Year
36470	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010		CPT12	5 Year
36470	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		CPT12	5 Year
36470	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		CPT12	5 Year
36470	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		CPT12	5 Year
36470	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT12	5 Year
36470	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		010		CPT12	5 Year
36470	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010		CPT12	5 Year
36470	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539	2		010		CPT12	5 Year
36470	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT12	5 Year
36470	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		CPT12	5 Year
36470	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.029	10		010		CPT12	5 Year
36471	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT12	5 Year
36471	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010		CPT12	5 Year
36471	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		CPT12	5 Year
36471	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		CPT12	5 Year
36471	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		CPT12	5 Year
36471	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT12	5 Year
36471	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		010		CPT12	5 Year
36471	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010		CPT12	5 Year
36471	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539	2		010		CPT12	5 Year
36471	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT12	5 Year
36471	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		CPT12	5 Year
36471	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.029	10		010		CPT12	5 Year
36475		"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	50	1		000	36475	May 2014	May 50
36475	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	36475	May 2014	May 50
36475		"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000	36475	May 2014	May 50
36475		"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1		000	36475	May 2014	May 50
36475		"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000	36475	May 2014	May 50
36475		"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000	36475	May 2014	May 50
36475		"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		000	36475	May 2014	May 50
36475		"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000	36475	May 2014	May 50
36475		"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000	36475	May 2014	May 50
36475	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000	36475	May 2014	May 50
36475		"Hypodermic, IV"	SC074	iv pressure infusor bag	item	18.46	1		000	36475	May 2014	May 50
36475		"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	1		000	36475	May 2014	May 50
36475		"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000	36475	May 2014	May 50
36475		"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000	36475	May 2014	May 50
36475		"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000	36475	May 2014	May 50
36475		"Accessory, Procedure"	SD155	"catheter, RF endovenous occlusion"	item	725	1		000	36475	May 2014	May 50
36475		"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000	36475	May 2014	May 50
36475		"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		000	36475	May 2014	May 50
36475		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000	36475	May 2014	May 50
36475		"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000	36475	May 2014	May 50
36475		"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	12		000	36475	May 2014	May 50
36475		"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	49.673	1		000	36475	May 2014	May 50
36475		"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	60		000	36475	May 2014	May 50
36475		"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000	36475	May 2014	May 50
36475		"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2		000	36475	May 2014	May 50
36475		"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000	36475	May 2014	May 50
36475		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000	36475	May 2014	May 50
36475		"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	100		000	36475	May 2014	May 50
36475		"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	100		000	36475	May 2014	May 50
36475		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	36475	May 2014	May 50
36475	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		000	36475	May 2014	May 50
36475		"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	10		000	36475	May 2014	May 50
36475		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000	36475	May 2014	May 50
36475	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000	36475	May 2014	May 50
36476	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		ZZZ	36476	May 2014	May 50
36476		"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	12		ZZZ	36476	May 2014	May 50
36476	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ	36476	May 2014	May 50
36476	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2		ZZZ	36476	May 2014	May 50
36476	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	100		ZZZ	36476	May 2014	May 50
36476	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	100		ZZZ	36476	May 2014	May 50
36476	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		ZZZ	36476	May 2014	May 50
36476	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	10		ZZZ	36476	May 2014	May 50
36476	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		ZZZ	36476	May 2014	May 50
36478	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	36478	May 2014	May 50
36478	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000	36478	May 2014	May 50
36478		"Kit, Pack, Tray"	SA074	"kit, endovascular laser treatment"	kit	519	1		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000	36478	May 2014	May 50
36478	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1		000	36478	May 2014	May 50
36478	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000	36478	May 2014	May 50
36478	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000	36478	May 2014	May 50
36478	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000	36478	May 2014	May 50
36478		"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000	36478	May 2014	May 50
36478	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		000	36478	May 2014	May 50
36478	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000	36478	May 2014	May 50
36478	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000	36478	May 2014	May 50
36478	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000	36478	May 2014	May 50
36478	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000	36478	May 2014	May 50
36478	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000	36478	May 2014	May 50
36478	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		000	36478	May 2014	May 50
36478	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000	36478	May 2014	May 50
36478	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000	36478	May 2014	May 50
36478	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	12		000	36478	May 2014	May 50
36478	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	49.673	1		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	60		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	100		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	100		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	36478	May 2014	May 50
36478	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		000	36478	May 2014	May 50
36478	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	10		000	36478	May 2014	May 50
36478	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000	36478	May 2014	May 50
36478	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000	36478	May 2014	May 50
36479	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		ZZZ	36479	May 2014	May 50
36479	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	12		ZZZ	36479	May 2014	May 50
36479	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ	36479	May 2014	May 50
36479	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2		ZZZ	36479	May 2014	May 50
36479	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	100		ZZZ	36479	May 2014	May 50
36479	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	100		ZZZ	36479	May 2014	May 50
36479	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		ZZZ	36479	May 2014	May 50
36479	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	10		ZZZ	36479	May 2014	May 50
36479	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		ZZZ	36479	May 2014	May 50
36481	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		Feb09	
36481	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT10	
36481	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Feb09	
36481	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb09	
36481	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		Feb09	
36481	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		Feb09	
36481	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Feb09	
36481	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT10	
36481	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		Feb09	
36481	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		Feb09	
36481	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		Feb09	
36481	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Feb09	
36481	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Feb09	
36481	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Feb09	
36481	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Feb09	
36481	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		Feb09	
36481	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		Feb09	
36481	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.775	1		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		Feb09	
36481	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		Feb09	
36481	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		Feb09	
36481	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		Feb09	
36481	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		Feb09	
36481	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		Feb09	
36481	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		Feb09	
36481	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		Feb09	
36481	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Feb09	
36481	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		Feb09	
36481	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Feb09	
36481	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		Feb09	
36481	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Feb09	
36481	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		Feb09	
36510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36510	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		Mar04	N
36510	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Mar04	N
36510	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Mar04	N
36510	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	1		000		Mar04	N
36510	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		Mar04	N
36510	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Mar04	N
36510	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Mar04	N
36510	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	1		000		Mar04	N
36510	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		000		Mar04	N
36510	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		Mar04	N
36510	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		Mar04	N
36514	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		Mar04	D
36514	RUC	"Kit, Pack, Tray"	SA085	"tray, central line dressing change"	tray	2.43	1		000		Mar04	D
36514	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000		Mar04	D
36514	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		000		Mar04	D
36514	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000		Mar04	D
36514	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		Mar04	D
36514	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Mar04	D
36514	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	1		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	8		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	8		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	1		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	7.3958	1		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC085	"tubing set, plasma exchange"	item	173.3333	1		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1		000		Mar04	D
36514	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	5.9	1		000		Mar04	D
36514	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		000		Mar04	D
36514	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Mar04	D
36514	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.5085	4		000		Mar04	D
36514	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		000		Mar04	D
36514	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	2		000		Mar04	D
36514	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	14		000		Mar04	D
36514	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	6.58	1		000	93971		
36514	RUC	Lab	SL197	label for blood tube	item	0.0035	8		000			
36515	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		Mar04	D
36515	RUC	"Kit, Pack, Tray"	SA072	"kit, apheresis treatment"	kit	140	1		000		Mar04	D
36515	RUC	"Kit, Pack, Tray"	SA085	"tray, central line dressing change"	tray	2.43	1		000		Mar04	D
36515	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000		Mar04	D
36515	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		000		Mar04	D
36515	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000		Mar04	D
36515	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		Mar04	D
36515	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Mar04	D
36515	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	8		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	2		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	8		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	1.2485	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC066	"adapter, spike (for syringe)"	item	4.558	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	7.3958	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC086	"tubing set, plasma transfer"	item	1.68	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	5.75	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1		000		Mar04	D
36515	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	5.9	1		000		Mar04	D
36515	RUC	"Accessory, Procedure"	SD159	"container, 2000ml, transfer pack"	item	7.12	2		000		Mar04	D
36515	RUC	"Accessory, Procedure"	SD160	"container, 600ml, transfer pack"	item	3.3604	1		000		Mar04	D
36515	RUC	"Accessory, Procedure"	SD185	plasma antibody adsorption column (Prosorba)	item	1150	1		000		Mar04	D
36515	RUC	"Accessory, Procedure"	SD187	plasma leukocyte filter	item	49.719	1		000		Mar04	D
36515	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		000		Mar04	D
36515	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Mar04	D
36515	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.5085	4		000		Mar04	D
36515	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		000		Mar04	D
36515	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	2		000		Mar04	D
36515	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	14		000		Mar04	D
36515	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	6.58	1		000	93971		
36515	RUC	Lab	SL197	label for blood tube	item	0.0035	8		000			
36516	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		Mar04	D
36516	RUC	"Kit, Pack, Tray"	SA085	"tray, central line dressing change"	tray	2.43	1		000		Mar04	D
36516	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000		Mar04	D
36516	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		000		Mar04	D
36516	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000		Mar04	D
36516	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		Mar04	D
36516	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Mar04	D
36516	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	1		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	8		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	8		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	1		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC083	tubing set (Liposorber)	item	50	1		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	7.3958	1		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1		000		Mar04	D
36516	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	5.9	1		000		Mar04	D
36516	RUC	"Accessory, Procedure"	SD186	plasma LDL adsorption column (Liposorber)	item	1300	1		000		Mar04	D
36516	RUC	"Accessory, Procedure"	SD188	plasma separator (Liposorber)	item	100	1		000		Mar04	D
36516	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		000		Mar04	D
36516	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Mar04	D
36516	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	2		000		Mar04	D
36516	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		000		Mar04	D
36516	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	2		000		Mar04	D
36516	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	14		000		Mar04	D
36516	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	6.58	1		000	93971		
36516	RUC	Lab	SL197	label for blood tube	item	0.0035	8		000			
36522	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		Sep04	
36522	RUC	"Kit, Pack, Tray"	SA024	"kit, photopheresis procedure"	kit	858	1		000		Sep04	
36522	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Sep04	
36522	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		Sep04	
36522	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Sep04	
36522	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Sep04	
36522	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000		Sep04	
36522	RUC	"Hypodermic, IV"	SC088	"fistula needle, dialysis, 17g"	item	1.62	2		000		Sep04	
36522	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		000		Sep04	
36522	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		Sep04	
36522	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Sep04	
36522	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	1		000		Sep04	
36522	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		000		Sep04	
36522	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000		Sep04	
36522	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	1		000		Sep04	
36522	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		Sep04	
36522	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Sep04	
36522	RUC	"Pharmacy, NonRx"	SJ075	"methoxsalen, 10ml vial"	item	49.5	1		000		Sep04	
36522	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	1		000		Sep04	
36555	RUC	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	68	1		000			
36555	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
36555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36555	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36555	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36555	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36555	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
36555	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
36555	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
36555	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
36555	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36555	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36555	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36555	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36555	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36555	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36555	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36555	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36555	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36555	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36555	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36555	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36556	RUC	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	68	1		000			
36556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36556	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36556	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36556	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36556	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
36556	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
36556	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
36556	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
36556	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36556	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36556	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36556	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36556	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36556	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36556	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36556	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36556	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36556	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36556	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36556	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36557	RUC	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	308	1		010			
36557	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36557	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36557	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36557	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36557	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36557	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36557	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36557	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36557	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36557	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36557	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36557	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36557	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36557	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36557	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36557	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36557	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36557	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36557	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36557	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36557	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36557	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36557	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36557	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36558	RUC	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	308	1		010			
36558	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36558	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36558	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36558	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36558	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36558	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36558	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36558	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36558	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36558	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36558	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36558	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36558	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36558	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36558	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36558	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36558	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36558	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36558	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36558	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36558	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36558	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36558	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36558	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36560	RUC	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	495	1		010			
36560	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36560	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36560	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36560	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36560	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36560	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36560	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36560	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36560	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36560	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36560	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36560	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36560	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36560	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36560	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36560	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36560	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36560	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36560	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36560	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36560	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36560	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36560	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36560	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36561	RUC	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	495	1		010			
36561	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36561	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36561	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36561	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36561	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36561	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36561	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36561	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36561	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36561	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36561	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36561	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36561	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36561	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36561	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36561	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36561	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36561	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36561	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36561	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36561	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36561	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36561	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36561	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36563	RUC	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	495	1		010			
36563	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36563	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36563	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36563	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36563	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36563	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36563	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36563	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36563	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36563	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36563	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36563	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36563	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36563	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36563	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36563	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36563	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36563	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36563	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36563	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36563	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36563	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36563	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36563	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36565	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36565	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36565	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36565	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36565	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36565	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36565	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36565	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36565	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36565	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36565	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36565	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36565	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36565	RUC	"Accessory, Procedure"	SD020	"catheter, CVA, tunneled, dual (Tesio)"	item	355	1		010			
36565	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	2		010			
36565	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36565	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36565	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36565	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	9		010			
36565	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36565	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36565	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36565	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36565	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36565	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36566	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36566	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36566	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36566	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36566	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36566	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36566	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36566	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36566	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36566	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36566	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36566	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36566	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36566	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	2		010			
36566	RUC	"Accessory, Procedure"	SD221	"catheter, CVA, system, tunneled w-port, dual (LifeSite)"	item	1750	2		010			
36566	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36566	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010			
36566	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010			
36566	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
36566	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36566	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		010			
36566	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36566	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36566	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36566	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36568	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		000			
36568	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
36568	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36568	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36568	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36568	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36568	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
36568	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
36568	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
36568	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
36568	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36568	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36568	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36568	RUC	"Accessory, Procedure"	SD022	"catheter, CVA, peripheral, without port-pump"	item	70.625	1		000			
36568	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36568	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36568	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36568	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36568	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36568	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36568	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36568	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36568	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36569	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		000			
36569	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36569	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36569	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36569	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36569	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
36569	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
36569	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
36569	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
36569	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36569	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36569	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36569	RUC	"Accessory, Procedure"	SD022	"catheter, CVA, peripheral, without port-pump"	item	70.625	1		000			
36569	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36569	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36569	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36569	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36569	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36569	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36569	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36569	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36569	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36570	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36570	RUC	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	586	1		010			
36570	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36570	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36570	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36570	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36570	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36570	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36570	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36570	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36570	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36570	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36570	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36570	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36570	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36570	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36570	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36570	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36570	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36570	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36570	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36570	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36570	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36570	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36571	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36571	RUC	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	586	1		010			
36571	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36571	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36571	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36571	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36571	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36571	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36571	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36571	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36571	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36571	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36571	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36571	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36571	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36571	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36571	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36571	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36571	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36571	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36571	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36571	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36571	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36571	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36575	RUC	"Kit, Pack, Tray"	SA012	"kit, CVA device repair"	kit	94.23	1		000			
36575	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36575	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36575	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36575	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
36575	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
36575	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
36575	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
36575	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36575	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36575	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36575	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36575	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36575	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36575	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36575	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36575	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36575	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36575	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36575	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36576	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36576	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36576	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36576	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36576	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36576	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36576	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36576	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36576	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36576	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36576	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36576	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36576	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36576	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010			
36576	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36576	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36576	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36576	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36576	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36576	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36576	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36576	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36576	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36576	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36578	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36578	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36578	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36578	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36578	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36578	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36578	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36578	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36578	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36578	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36578	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36578	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36578	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36578	RUC	"Accessory, Procedure"	SD021	"catheter, CVA, non-tunneled"	item	106	1		010			
36578	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		010			
36578	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36578	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36578	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36578	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36578	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36578	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36578	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36578	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36578	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36578	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36580	RUC	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	68	1		000			
36580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36580	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36580	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36580	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36580	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
36580	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
36580	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
36580	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
36580	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36580	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36580	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36580	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000			
36580	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36580	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36580	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36580	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36580	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36580	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36580	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36580	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36580	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36581	RUC	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	308	1		010			
36581	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36581	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36581	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36581	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36581	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36581	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36581	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36581	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36581	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36581	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36581	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36581	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36581	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36581	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	2		010			
36581	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36581	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36581	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36581	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36581	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36581	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36581	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36581	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36581	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36581	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36582	RUC	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	495	1		010			
36582	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36582	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36582	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36582	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36582	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36582	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36582	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36582	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36582	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36582	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36582	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36582	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36582	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36582	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		010			
36582	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36582	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36582	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36582	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36582	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36582	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36582	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36582	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36582	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36582	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36583	RUC	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	495	1		010			
36583	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36583	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36583	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36583	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36583	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36583	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36583	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36583	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36583	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36583	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36583	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36583	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36583	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36583	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		010			
36583	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36583	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36583	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36583	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36583	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36583	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36583	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36583	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36583	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36583	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36584	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36584	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36584	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36584	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36584	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
36584	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
36584	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
36584	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
36584	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
36584	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36584	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36584	RUC	"Accessory, Procedure"	SD022	"catheter, CVA, peripheral, without port-pump"	item	70.625	1		000			
36584	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000			
36584	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36584	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36584	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36584	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36584	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36584	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36584	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36584	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36584	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36585	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	2		010			
36585	RUC	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	586	1		010			
36585	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36585	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36585	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36585	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36585	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36585	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36585	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36585	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36585	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36585	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36585	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36585	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36585	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36585	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36585	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
36585	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		010			
36585	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36585	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36585	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36585	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36585	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36589	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36589	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010			
36589	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36589	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36589	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36589	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36589	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010			
36589	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		010			
36589	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36589	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36589	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
36589	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36589	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36589	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36590	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010			
36590	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
36590	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
36590	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
36590	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
36590	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010			
36590	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
36590	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
36590	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
36590	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010			
36590	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010			
36590	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
36590	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
36590	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
36590	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
36590	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
36590	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010			
36590	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		010			
36590	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
36590	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
36591	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
36591	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
36591	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
36591	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
36591	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	1		XXX			
36591	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
36591	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
36591	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX			
36591	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX			
36591	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX			
36591	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	7		XXX			
36591	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	3		XXX			
36591	RUC	Lab	SL085	label for microscope slides	item	0.026	6		XXX			
36592	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT08	26
36592	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT08	26
36592	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT08	26
36592	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT08	26
36592	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT08	26
36592	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT08	26
36592	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		CPT08	26
36592	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		CPT08	26
36592	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX		CPT08	26
36592	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	4		XXX		CPT08	26
36592	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT08	26
36592	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT08	26
36592	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	7		XXX		CPT08	26
36592	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	3		XXX		CPT08	26
36592	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	3		XXX		CPT08	26
36592	RUC	Lab	SL085	label for microscope slides	item	0.026	6		XXX		CPT08	26
36593	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
36593	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
36593	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
36593	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
36593	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
36593	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	1		XXX			
36593	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		XXX			
36593	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX			
36593	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX			
36593	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
36593	RUC	Lab	SL144	thrombin reagent (Thromboquik)	ml	2.737	1		XXX			
36595	RUC	"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	275	1		000			
36595	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000			
36596	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000			
36596	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
36596	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000			
36596	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
36596	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
36596	RUC	"Accessory, Procedure"	SD008	"brush, ureteral"	item	47.5	1		000			
36596	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36596	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		000			
36597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
36597	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
36597	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
36597	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
36597	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
36597	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
36597	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
36597	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
36597	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
36597	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000			
36597	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
36597	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
36597	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000			
36597	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
36597	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000			
36597	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
36597	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36597	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
36597	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000			
36597	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
36597	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
36597	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
36598	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
36598	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	9
36598	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000			
36598	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	9
36598	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000	11975		
36598	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Aug03	6
36598	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000	11975		
36598	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Jan04	9
36598	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
36598	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	1		000		Aug03	6
36598	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
36598	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		000			
36598	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000			
36598	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	30		000			
36600	RUC	"Kit, Pack, Tray"	SA003	"kit, arterial blood gas (ABG)"	kit	1.875	1		XXX			
36600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
36600	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX			
36600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
36600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
36600	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
36600	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		XXX			
36600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
36818	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	36818	November 2013	November 1
36818	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36818	November 2013	November 1
36819	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	36819	November 2013	November 1
36819	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36819	November 2013	November 1
36820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	36820	November 2013	November 1
36820	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36820	November 2013	November 1
36821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	36821	November 2013	November 1
36821	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36821	November 2013	November 1
36823	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
36823	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
36825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	36825	November 2013	November 1
36825	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36825	November 2013	November 1
36830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	36830	November 2013	November 1
36830	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36830	November 2013	November 1
36831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	36831	November 2013	November 1
36831	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36831	November 2013	November 1
36832	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	36832	November 2013	November 1
36832	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36832	November 2013	November 1
36833	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	36833	November 2013	November 1
36833	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	36833	November 2013	November 1
36835	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
36835	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
36835	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
36835	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
36838	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
36838	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
36860	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	36860	Feb05	
36860	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		Feb05	
36860	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Feb05	
36860	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		Feb05	
36860	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		Feb05	
36860	RUC	"Accessory, Procedure"	SD008	"brush, ureteral"	item	47.5	1		000		Feb05	
36860	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		Feb05	
36860	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Feb05	
36870	RUC	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	487.5	1		090			
36870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	090			
36870	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		090			
36870	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		090			
36870	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		090			
36870	RUC	"Accessory, Procedure"	SD032	"catheter, thrombectomy-Fogarty"	item	101.75	1		090			
36870	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	2		090			
36870	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	2		090			
36870	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
36870	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	090			
36870	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		090			
36870	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1	1	090			
37140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		CPT12	5 Year
37140	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		CPT12	5 Year
37145	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		CPT12	5 Year
37160	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
37180	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37181	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		CPT12	5 Year
37181	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37183	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		Oct08	
37183	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Oct08	
37183	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Oct08	
37183	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		Oct08	
37183	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		Oct08	
37183	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Oct08	
37183	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT10	
37183	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		Oct08	
37183	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		Oct08	
37183	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		Oct08	
37183	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Oct08	
37183	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Oct08	
37183	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Oct08	
37183	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Oct08	
37183	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		Oct08	
37183	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		Oct08	
37183	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	2		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.775	1		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		Oct08	
37183	RUC	"Accessory, Procedure"	SD238	"stent, GORE VIATORR TIPS Endoprosthesis"	item	3450	1		000		Oct08	
37183	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		Oct08	
37183	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		Oct08	
37183	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		Oct08	
37183	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		Oct08	
37183	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		Oct08	
37183	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Oct08	
37183	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		Oct08	
37183	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Oct08	
37183	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		Oct08	
37183	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Oct08	
37183	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		Oct08	
37184	RUC	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	487.5	1		000		RUC05	
37184	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		RUC05	
37184	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
37184	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		RUC05	
37184	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		RUC05	
37184	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		RUC05	
37184	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		RUC05	
37184	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		RUC05	
37184	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
37184	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		RUC05	
37184	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		RUC05	
37184	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		RUC05	
37184	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		RUC05	
37184	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		000		RUC05	
37184	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		RUC05	
37184	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		RUC05	
37184	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		RUC05	
37184	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		RUC05	
37184	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		RUC05	
37184	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		RUC05	
37184	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		RUC05	
37185	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		ZZZ		RUC05	
37185	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		ZZZ		RUC05	
37185	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		ZZZ		RUC05	
37185	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		ZZZ		RUC05	
37186	RUC	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	487.5	1		ZZZ		RUC05	
37186	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		ZZZ		RUC05	
37186	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		ZZZ		RUC05	
37186	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		ZZZ		RUC05	
37186	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		ZZZ		RUC05	
37187	RUC	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	487.5	1		000		RUC05	
37187	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		RUC05	
37187	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
37187	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		RUC05	
37187	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		RUC05	
37187	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		RUC05	
37187	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		RUC05	
37187	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		RUC05	
37187	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
37187	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		RUC05	
37187	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		RUC05	
37187	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		RUC05	
37187	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		RUC05	
37187	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		000		RUC05	
37187	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		RUC05	
37187	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		RUC05	
37187	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		RUC05	
37187	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		RUC05	
37187	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		RUC05	
37187	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		RUC05	
37187	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		RUC05	
37188	RUC	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	487.5	1		000		RUC05	
37188	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		RUC05	
37188	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
37188	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		RUC05	
37188	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		RUC05	
37188	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		RUC05	
37188	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		RUC05	
37188	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		RUC05	
37188	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
37188	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		RUC05	
37188	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		RUC05	
37188	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		RUC05	
37188	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		RUC05	
37188	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		000		RUC05	
37188	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		RUC05	
37188	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		RUC05	
37188	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		RUC05	
37188	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		RUC05	
37188	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		RUC05	
37188	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		RUC05	
37188	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		RUC05	
37191	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	May 11
37191	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	May 11
37191	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 11
37191	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	4		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 11
37191	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1		000		CPT12	May 11
37191	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	May 11
37191	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	May 11
37191	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT12	May 11
37191	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT12	May 11
37191	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	May 11
37191	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	May 11
37191	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	May 11
37191	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT12	May 11
37191	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT12	May 11
37191	RUC	"Accessory, Procedure"	SD267	IVC filter	item	1595	1		000		CPT12	May 11
37191	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	May 11
37191	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	May 11
37191	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	May 11
37191	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT12	May 11
37191	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	May 11
37191	RUC	"Wound Care, Dressings"	SG095	Hemostatic patch	item	35.75	1		000		CPT12	May 11
37191	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	May 11
37191	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	May 11
37191	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	May 11
37191	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	May 11
37192	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	May 11
37192	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	May 11
37192	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 11
37192	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	4		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 11
37192	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1		000		CPT12	May 11
37192	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	May 11
37192	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	May 11
37192	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT12	May 11
37192	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT12	May 11
37192	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	May 11
37192	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	May 11
37192	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	May 11
37192	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT12	May 11
37192	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT12	May 11
37192	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT12	May 11
37192	RUC	"Accessory, Procedure"	SD268	IVC retrieval set	kit	350	1		000		CPT12	May 11
37192	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	May 11
37192	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	May 11
37192	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	May 11
37192	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT12	May 11
37192	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	May 11
37192	RUC	"Wound Care, Dressings"	SG095	Hemostatic patch	item	35.75	1		000		CPT12	May 11
37192	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	May 11
37192	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	May 11
37192	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	May 11
37192	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	May 11
37193	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	May 11
37193	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	May 11
37193	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 11
37193	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	4		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 11
37193	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1		000		CPT12	May 11
37193	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	May 11
37193	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	May 11
37193	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT12	May 11
37193	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT12	May 11
37193	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	May 11
37193	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	May 11
37193	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	May 11
37193	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT12	May 11
37193	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT12	May 11
37193	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT12	May 11
37193	RUC	"Accessory, Procedure"	SD268	IVC retrieval set	kit	350	1		000		CPT12	May 11
37193	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	May 11
37193	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	May 11
37193	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	May 11
37193	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT12	May 11
37193	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	May 11
37193	RUC	"Wound Care, Dressings"	SG095	Hemostatic patch	item	35.75	1		000		CPT12	May 11
37193	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	May 11
37193	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	May 11
37193	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	May 11
37193	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	May 11
37197	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT13	May 14
37197	RUC	"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	275	1		000		CPT13	May 14
37197	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT13	May 14
37197	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 14
37197	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT13	May 14
37197	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT13	May 14
37197	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT13	May 14
37197	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT13	May 14
37197	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 14
37197	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT13	May 14
37197	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT13	May 14
37197	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT13	May 14
37197	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT13	May 14
37197	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT13	May 14
37197	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT13	May 14
37197	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT13	May 14
37197	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT13	May 14
37197	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT13	May 14
37197	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT13	May 14
37197	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT13	May 14
37197	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	May 14
37197	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT13	May 14
37197	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT13	May 14
37197	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT13	May 14
37197	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT13	May 14
37215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
37217	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT14	May 7
37217	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT14	May 7
37218	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	37217	May 2014	May 11
37220	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37220	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37220	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37220	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37220	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37220	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37220	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37220	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37220	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37220	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37220	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37220	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37220	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37220	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37220	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37220	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37220	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	2		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37220	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37220	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37220	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37220	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37220	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37220	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37220	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	27
37220	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37220	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37220	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37220	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37220	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	27
37220	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37221	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37221	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37221	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37221	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1645	1		000		CPT11	27
37221	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37221	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37221	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37221	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37221	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37221	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37221	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37221	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37221	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37221	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37221	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37221	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37221	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37221	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37221	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37221	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37221	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37221	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37221	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37221	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37221	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		000		CPT11	27
37221	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37221	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37221	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37221	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37221	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	27
37221	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37222	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		ZZZ		CPT11	27
37222	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		ZZZ		CPT11	27
37223	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1645	1		ZZZ		CPT11	27
37223	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		ZZZ		CPT11	27
37223	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		ZZZ		CPT11	27
37224	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37224	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37224	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37224	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37224	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37224	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37224	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37224	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37224	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37224	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37224	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37224	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37224	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37224	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37224	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37224	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37224	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37224	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	3		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37224	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37224	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37224	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37224	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37224	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37224	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37224	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	27
37224	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37224	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37224	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37224	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37224	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	27
37224	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37225	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37225	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37225	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37225	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37225	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37225	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37225	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37225	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37225	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37225	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37225	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37225	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37225	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37225	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37225	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37225	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37225	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37225	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	4		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4979.67	1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1		000		CPT11	27
37225	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1365	1		000		CPT11	27
37225	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37225	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37225	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37225	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37225	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37225	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		000		CPT11	27
37225	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37225	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37225	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37225	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37225	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		000		CPT11	27
37225	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37226	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37226	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37226	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37226	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37226	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37226	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37226	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37226	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37226	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37226	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37226	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37226	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37226	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37226	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37226	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37226	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37226	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	3		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3768	1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1		000		CPT11	27
37226	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1365	1		000		CPT11	27
37226	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37226	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37226	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37226	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37226	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37226	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		000		CPT11	27
37226	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37226	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37226	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37226	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37226	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		000		CPT11	27
37226	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37227	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37227	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37227	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37227	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37227	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37227	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37227	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37227	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37227	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37227	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37227	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37227	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37227	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37227	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37227	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37227	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37227	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	4		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4979.67	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3768	1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1		000		CPT11	27
37227	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1365	1		000		CPT11	27
37227	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37227	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37227	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37227	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37227	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37227	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		000		CPT11	27
37227	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37227	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37227	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37227	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37227	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		000		CPT11	27
37227	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37228	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37228	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37228	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37228	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37228	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37228	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37228	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37228	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37228	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37228	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37228	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37228	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37228	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37228	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37228	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37228	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37228	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37228	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	2		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	2		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37228	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1365	1		000		CPT11	27
37228	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37228	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37228	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37228	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37228	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37228	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	27
37228	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37228	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37228	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37228	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37228	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		000		CPT11	27
37228	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37229	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37229	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37229	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37229	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37229	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37229	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37229	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37229	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37229	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37229	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37229	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37229	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37229	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37229	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37229	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37229	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37229	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37229	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	2		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	3		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4979.67	1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1		000		CPT11	27
37229	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1365	1		000		CPT11	27
37229	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37229	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37229	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37229	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37229	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37229	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		000		CPT11	27
37229	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37229	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37229	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37229	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37229	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		000		CPT11	27
37229	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37230	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37230	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37230	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37230	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37230	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37230	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37230	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37230	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37230	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37230	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37230	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37230	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37230	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37230	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37230	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37230	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37230	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	2		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	3		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1365	1		000		CPT11	27
37230	RUC	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2495	1		000		CPT11	27
37230	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37230	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37230	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37230	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37230	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37230	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		000		CPT11	27
37230	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37230	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37230	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37230	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37230	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		000		CPT11	27
37230	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37231	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	27
37231	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	27
37231	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	27
37231	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	27
37231	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT11	27
37231	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	27
37231	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	27
37231	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	27
37231	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	27
37231	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	27
37231	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT11	27
37231	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT11	27
37231	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	27
37231	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	27
37231	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	27
37231	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	27
37231	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT11	27
37231	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	197	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	2		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	3		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	47	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4979.67	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1365	1		000		CPT11	27
37231	RUC	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2495	1		000		CPT11	27
37231	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT11	27
37231	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT11	27
37231	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	27
37231	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT11	27
37231	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	27
37231	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		000		CPT11	27
37231	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT11	27
37231	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	27
37231	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	225	1		000		CPT11	27
37231	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	175	1		000		CPT11	27
37231	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		000		CPT11	27
37231	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	27
37232	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		ZZZ		CPT11	27
37232	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	3		ZZZ		CPT11	27
37232	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		ZZZ		CPT11	27
37233	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		ZZZ		CPT11	27
37233	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	3		ZZZ		CPT11	27
37233	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		ZZZ		CPT11	27
37234	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		ZZZ		CPT11	27
37234	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	3		ZZZ		CPT11	27
37234	RUC	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2495	1		ZZZ		CPT11	27
37234	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		ZZZ		CPT11	27
37235	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		ZZZ		CPT11	27
37235	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	3		ZZZ		CPT11	27
37235	RUC	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2495	1		ZZZ		CPT11	27
37235	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	10		ZZZ		CPT11	27
37236	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 8
37236	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 8
37236	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 8
37236	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT14	May 8
37236	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 8
37236	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 8
37236	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT14	May 8
37236	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT14	May 8
37236	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		000		CPT14	May 8
37236	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	24.9	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	101.25	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	90	1		000		CPT14	May 8
37236	RUC	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	1500	1		000		CPT14	May 8
37236	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 8
37236	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 8
37236	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 8
37236	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 8
37236	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT14	May 8
37236	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT14	May 8
37236	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 8
37236	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT14	May 8
37236	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 8
37236	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	6		000		CPT14	May 8
37237	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	431.5	1		ZZZ		CPT14	May 8
37237	RUC	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	1500	1		ZZZ		CPT14	May 8
37238	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 8
37238	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 8
37238	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 8
37238	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 8
37238	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1645	1.5		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT14	May 8
37238	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 8
37238	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 8
37238	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT14	May 8
37238	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT14	May 8
37238	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		000		CPT14	May 8
37238	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 8
37238	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT14	May 8
37238	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	24.9	1		000		CPT14	May 8
37238	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	243.5	1		000		CPT14	May 8
37238	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		000		CPT14	May 8
37238	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	46.95	1		000		CPT14	May 8
37238	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 8
37238	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 8
37238	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 8
37238	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 8
37238	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT14	May 8
37238	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT14	May 8
37238	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 8
37238	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT14	May 8
37238	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 8
37238	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	6		000		CPT14	May 8
37239	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1645	1		ZZZ		CPT14	May 8
37241	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT14	May 9
37241	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 9
37241	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 9
37241	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 9
37241	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT14	May 9
37241	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 9
37241	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT14	May 9
37241	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 9
37241	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT14	May 9
37241	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT14	May 9
37241	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000		CPT14	May 9
37241	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 9
37241	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT14	May 9
37241	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT14	May 9
37241	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 9
37241	RUC	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	935	1		000		CPT14	May 9
37241	RUC	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	170	7		000		CPT14	May 9
37241	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 9
37241	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT14	May 9
37241	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		CPT14	May 9
37241	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 9
37241	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 9
37241	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT14	May 9
37241	RUC	"Wound Care, Dressings"	SG095	Hemostatic patch	item	35.75	1		000		CPT14	May 9
37241	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT14	May 9
37241	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 9
37241	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT14	May 9
37241	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 9
37241	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 9
37242	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT14	May 9
37242	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 9
37242	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 9
37242	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 9
37242	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT14	May 9
37242	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 9
37242	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT14	May 9
37242	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 9
37242	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT14	May 9
37242	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT14	May 9
37242	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000		CPT14	May 9
37242	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 9
37242	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT14	May 9
37242	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT14	May 9
37242	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 9
37242	RUC	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	935	5		000		CPT14	May 9
37242	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 9
37242	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT14	May 9
37242	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		CPT14	May 9
37242	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 9
37242	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 9
37242	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT14	May 9
37242	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT14	May 9
37242	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 9
37242	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT14	May 9
37242	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 9
37242	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 9
37243	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT14	May 9
37243	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 9
37243	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 9
37243	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 9
37243	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT14	May 9
37243	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 9
37243	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT14	May 9
37243	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 9
37243	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT14	May 9
37243	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT14	May 9
37243	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000		CPT14	May 9
37243	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 9
37243	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT14	May 9
37243	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT14	May 9
37243	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 9
37243	RUC	"Cutters, Closures, Cautery"	SF058	LC Beads (2mL vial)	item	2100	3		000		CPT14	May 9
37243	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 9
37243	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT14	May 9
37243	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		CPT14	May 9
37243	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 9
37243	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 9
37243	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT14	May 9
37243	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT14	May 9
37243	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 9
37243	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT14	May 9
37243	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 9
37243	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 9
37244	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT14	May 9
37244	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 9
37244	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 9
37244	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 9
37244	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		000		CPT14	May 9
37244	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 9
37244	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT14	May 9
37244	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 9
37244	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT14	May 9
37244	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	4		000		CPT14	May 9
37244	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000		CPT14	May 9
37244	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 9
37244	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	225	1		000		CPT14	May 9
37244	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT14	May 9
37244	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 9
37244	RUC	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	935	4		000		CPT14	May 9
37244	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 9
37244	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT14	May 9
37244	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		CPT14	May 9
37244	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 9
37244	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT14	May 9
37244	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT14	May 9
37244	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT14	May 9
37244	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 9
37244	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT14	May 9
37244	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 9
37244	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 9
37500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
37500	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37500	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.179		3	090			
37500	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539		3	090			
37500	RUC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318		3	090			
37565	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37565	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
37600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37600	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
37605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37605	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
37606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
37606	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
37607	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37607	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37607	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
37607	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
37609	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
37609	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
37609	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
37609	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
37609	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
37609	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
37609	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
37609	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
37609	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		010			
37609	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
37609	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
37609	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
37609	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
37609	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
37609	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
37609	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
37609	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
37609	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
37609	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
37609	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
37609	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		010			
37609	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
37609	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
37609	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
37609	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
37609	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
37609	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
37609	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
37615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
37615	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37616	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
37616	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37617	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37617	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37618	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
37618	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37619	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090		CPT12	May 11
37619	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	May 11
37650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37650	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37660	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37700	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37718	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
37718	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
37722	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
37722	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
37735	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
37735	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
37760	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	30
37761	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	30
37765	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Feb10	21
37765	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Feb10	21
37765	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Feb10	21
37765	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Feb10	21
37765	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Feb10	21
37765	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		090		Feb10	21
37765	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Feb10	21
37765	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Feb10	21
37765	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Feb10	21
37765	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Feb10	21
37765	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Feb10	21
37765	RUC	"Hypodermic, IV"	SC074	iv pressure infusor bag	item	18.46	1		090		Feb10	21
37765	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.226	1		090		Feb10	21
37765	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		090		Feb10	21
37765	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Feb10	21
37765	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Feb10	21
37765	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Feb10	21
37765	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		Feb10	21
37765	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Feb10	21
37765	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Feb10	21
37765	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Feb10	21
37765	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Feb10	21
37765	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Feb10	21
37765	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Feb10	21
37765	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	49.673	1		090		Feb10	21
37765	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090		Feb10	21
37765	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		Feb10	21
37765	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	60		090		Feb10	21
37765	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Feb10	21
37765	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2		090		Feb10	21
37765	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Feb10	21
37765	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Feb10	21
37765	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Feb10	21
37765	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	100		090		Feb10	21
37765	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	100		090		Feb10	21
37765	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		090		Feb10	21
37765	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Feb10	21
37765	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Feb10	21
37765	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		090		Feb10	21
37766	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Feb10	21
37766	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Feb10	21
37766	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Feb10	21
37766	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Feb10	21
37766	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Feb10	21
37766	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		090		Feb10	21
37766	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Feb10	21
37766	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Feb10	21
37766	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Feb10	21
37766	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Feb10	21
37766	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Feb10	21
37766	RUC	"Hypodermic, IV"	SC074	iv pressure infusor bag	item	18.46	1		090		Feb10	21
37766	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.226	1		090		Feb10	21
37766	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		090		Feb10	21
37766	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Feb10	21
37766	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Feb10	21
37766	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Feb10	21
37766	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		Feb10	21
37766	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		090		Feb10	21
37766	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		090		Feb10	21
37766	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	1		090		Feb10	21
37766	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Feb10	21
37766	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Feb10	21
37766	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Feb10	21
37766	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	49.673	1		090		Feb10	21
37766	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		090		Feb10	21
37766	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		Feb10	21
37766	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	100		090		Feb10	21
37766	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Feb10	21
37766	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2		090		Feb10	21
37766	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Feb10	21
37766	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		090		Feb10	21
37766	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Feb10	21
37766	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	100		090		Feb10	21
37766	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	100		090		Feb10	21
37766	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		090		Feb10	21
37766	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Feb10	21
37766	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Feb10	21
37766	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		090		Feb10	21
37780	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37780	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
37785	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	19
37785	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Jan04	19
37785	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	19
37785	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	19
37785	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	19
37785	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Jan04	19
37785	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	3		090		Jan04	19
37785	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Jan04	19
37785	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	19
37785	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	19
37785	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Jan04	19
37785	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		090		Jan04	19
37785	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	19
37785	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	19
37785	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Jan04	19
37785	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	19
37785	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Jan04	19
37785	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539	2		090		Jan04	19
37785	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	4		090		Jan04	19
37785	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	19
37785	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090		Jan04	19
37785	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Jan04	19
37785	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Jan04	19
37785	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	60		090		Jan04	19
37785	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	19
37785	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		090		Jan04	19
37788	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
37788	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37788	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090			
37788	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090			
37790	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
37790	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
37790	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090			
37790	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
38100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
38100	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38101	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
38101	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38115	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
38115	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	38100		
38120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	38100		
38220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
38220	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	34.47	1		XXX			
38220	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX			
38220	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
38220	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
38220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX			
38220	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
38220	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX			
38220	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
38220	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX			
38220	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
38220	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		XXX			
38220	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
38221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
38221	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	34.47	1		XXX			
38221	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX			
38221	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
38221	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
38221	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX			
38221	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
38221	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX			
38221	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
38221	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX			
38221	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
38221	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		XXX			
38221	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
38221	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	2		XXX			
38300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010			
38300	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
38300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
38300	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1	1	010			
38300	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
38300	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010			
38300	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010			
38300	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	2		010			
38300	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	5		010			
38300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	5	1	010			
38300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
38300	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
38300	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
38300	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
38300	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
38300	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
38300	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
38300	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010			
38300	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
38300	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
38300	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010			
38300	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
38300	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010			
38300	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
38300	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
38300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
38300	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
38300	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
38305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Jan04	19
38305	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Jan04	19
38308	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Jan04	19
38308	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Jan04	19
38380	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
38380	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
38381	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
38381	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
38382	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
38382	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
38500	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
38500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
38500	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
38500	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
38500	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
38500	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
38500	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
38500	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
38500	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
38500	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
38500	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
38500	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
38500	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		010			
38500	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
38500	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1	1	010			
38505	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
38505	RUC	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	28.42	1		000			
38505	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
38505	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
38505	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
38505	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
38505	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
38505	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
38510	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
38510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
38510	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
38510	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
38510	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
38510	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
38510	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
38510	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
38510	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
38510	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
38510	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
38510	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
38510	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
38510	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
38510	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
38510	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		010			
38510	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
38510	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1	1	010			
38510	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010			
38510	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		010			
38520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
38520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
38525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
38525	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
38530	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38542	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr08	ss
38542	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
38550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
38550	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
38555	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38562	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
38562	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38564	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
38564	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
38570	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	010			
38570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	010			
38570	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
38570	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
38571	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	010			
38571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	010			
38571	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
38571	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
38572	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	010			
38572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	010			
38572	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
38572	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
38700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
38700	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
38720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
38720	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
38724	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
38724	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
38740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
38740	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
38745	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
38745	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
38760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
38760	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
38765	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
38765	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
38765	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089		1	090			
38765	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558		1	090			
38765	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
38765	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090			
38765	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		36	090			
38765	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		5	090			
38765	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
38765	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		60	090			
38765	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		6	090			
38770	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
38770	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
38780	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
38780	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
39000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
39000	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
39010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
39010	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
39200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
39200	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
39220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
39220	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
39400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
39400	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
39501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
39501	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
39503	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
39503	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
39540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
39540	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
39541	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
39541	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
39545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
39545	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
39560	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
39560	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	39501		
39561	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
39561	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	39502		
40490	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000			
40490	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
40490	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
40490	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
40490	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
40490	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
40490	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
40490	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
40490	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
40490	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
40490	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
40490	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
40490	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
40490	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
40490	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000			
40490	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
40490	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
40490	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
40490	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
40500	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
40500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40500	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
40500	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
40500	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
40500	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
40500	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
40500	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
40500	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
40500	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40500	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
40500	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
40510	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
40510	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40510	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
40510	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
40510	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
40510	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
40510	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
40510	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
40510	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
40510	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40510	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
40510	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
40520	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
40520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40520	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
40520	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
40520	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
40520	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
40520	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
40520	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
40520	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
40520	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40520	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
40520	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
40525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
40525	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
40525	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
40525	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
40527	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
40527	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
40527	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
40527	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
40530	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
40530	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40530	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
40530	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
40530	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
40530	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
40530	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
40530	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
40530	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
40530	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40530	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
40530	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
40650	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
40650	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40650	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
40650	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
40650	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
40650	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
40650	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
40650	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
40650	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
40650	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40650	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
40650	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
40652	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40652	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	6
40652	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40652	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
40652	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
40652	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
40652	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
40652	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
40652	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
40652	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
40652	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40652	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
40652	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
40654	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40654	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Aug03	6
40654	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40654	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		090		Aug03	6
40654	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
40654	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Aug03	6
40654	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		090		Aug03	6
40654	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
40654	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Aug03	6
40654	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Aug03	6
40654	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40654	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Aug03	6
40654	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Aug03	6
40700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
40700	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
40700	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
40700	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
40701	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
40701	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
40701	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
40701	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
40702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
40702	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
40702	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
40702	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
40720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
40720	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
40720	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
40720	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
40761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
40761	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
40761	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
40761	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
40800	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Mar03	9
40800	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40800	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40800	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40800	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40800	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40800	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40800	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40800	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40800	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40800	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40800	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40800	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40800	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40800	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40800	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40800	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40800	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40800	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	9
40800	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40800	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40800	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Mar03	9
40800	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40800	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40800	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40800	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40800	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar03	9
40800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40800	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
40801	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40801	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Mar03	9
40801	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40801	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40801	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40801	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40801	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40801	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40801	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40801	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40801	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40801	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40801	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40801	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40801	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40801	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40801	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40801	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40801	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40801	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Mar03	9
40801	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40801	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40801	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Mar03	9
40801	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40801	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40801	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40801	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40801	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar03	9
40801	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40801	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
40804	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Mar03	9
40804	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40804	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40804	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40804	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40804	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40804	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40804	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40804	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40804	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40804	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40804	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40804	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40804	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40804	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40804	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40804	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40804	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40804	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	9
40804	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40804	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40804	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40804	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40804	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40804	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40804	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar03	9
40804	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40804	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
40805	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40805	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Mar03	9
40805	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40805	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40805	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40805	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40805	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40805	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40805	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40805	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40805	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40805	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40805	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40805	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40805	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40805	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40805	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40805	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40805	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40805	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Mar03	9
40805	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40805	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40805	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Mar03	9
40805	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40805	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40805	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40805	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40805	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar03	9
40805	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40805	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
40806	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Mar03	9
40806	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	9
40806	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar03	9
40806	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		000		Mar03	9
40806	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Mar03	9
40806	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar03	9
40806	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar03	9
40806	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Mar03	9
40806	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Mar03	9
40806	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		000		Mar03	9
40806	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Mar03	9
40806	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Mar03	9
40806	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Mar03	9
40806	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		000		Mar03	9
40806	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		Mar03	9
40806	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Mar03	9
40806	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		Mar03	9
40806	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		000		Mar03	9
40806	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Mar03	9
40806	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		000		Mar03	9
40806	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000		Mar03	9
40806	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	9
40806	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Mar03	9
40808	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40808	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	9
40808	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40808	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40808	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40808	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40808	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40808	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40808	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40808	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40808	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40808	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40808	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40808	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40808	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40808	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40808	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40808	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40808	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40808	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	9
40808	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40808	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40808	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40808	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40808	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40808	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40808	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40808	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
40810	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	9
40810	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40810	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40810	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40810	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40810	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40810	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40810	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40810	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40810	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40810	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40810	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40810	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40810	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40810	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40810	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40810	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40810	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40810	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	9
40810	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40810	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40810	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40810	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40810	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40810	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40810	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40810	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
40812	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40812	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Mar03	9
40812	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40812	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40812	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40812	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40812	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40812	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40812	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40812	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40812	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40812	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40812	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40812	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40812	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40812	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40812	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40812	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40812	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40812	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Mar03	9
40812	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40812	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40812	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40812	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40812	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40812	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40812	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40812	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
40814	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
40814	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	9
40814	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
40814	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
40814	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
40814	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
40814	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
40814	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
40814	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
40814	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
40814	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
40814	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar03	9
40814	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
40814	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
40814	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
40814	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
40814	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
40814	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
40814	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	9
40814	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	9
40814	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
40814	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	9
40814	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		Mar03	9
40814	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
40814	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
40814	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
40814	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
40814	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
40816	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
40816	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	9
40816	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
40816	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
40816	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
40816	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
40816	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
40816	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
40816	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
40816	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
40816	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
40816	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2		090		Mar03	9
40816	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
40816	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
40816	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
40816	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
40816	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
40816	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
40816	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	9
40816	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	9
40816	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
40816	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	9
40816	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		Mar03	9
40816	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
40816	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
40816	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
40816	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
40816	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
40818	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
40818	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	9
40818	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
40818	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
40818	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
40818	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
40818	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
40818	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
40818	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
40818	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
40818	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
40818	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2		090		Mar03	9
40818	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
40818	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
40818	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
40818	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
40818	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
40818	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
40818	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	9
40818	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	9
40818	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
40818	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	9
40818	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		Mar03	9
40818	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
40818	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
40818	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
40818	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
40818	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
40819	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
40819	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	9
40819	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
40819	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
40819	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
40819	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
40819	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
40819	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
40819	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
40819	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
40819	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
40819	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2		090		Mar03	9
40819	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
40819	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
40819	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
40819	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
40819	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
40819	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
40819	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	9
40819	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	9
40819	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
40819	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	9
40819	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		Mar03	9
40819	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
40819	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
40819	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
40819	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
40819	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
40820	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	J
40820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Mar04	J
40820	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	J
40820	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	J
40820	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	3	2	010		Mar04	J
40820	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010		Mar04	J
40820	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	J
40820	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	010		Mar04	J
40820	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	010		Mar04	J
40820	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	J
40820	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Mar04	J
40820	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	3	2	010		Mar04	J
40820	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar04	J
40820	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	J
40820	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	3	2	010		Mar04	J
40820	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	010		Mar04	J
40820	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	010		Mar04	J
40820	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	010		Mar04	J
40820	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar04	J
40820	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	J
40820	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	J
40820	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Mar04	J
40820	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	J
40820	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	14	12	010		Mar04	J
40820	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Mar04	J
40820	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar04	J
40820	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	3	2	010		Mar04	J
40820	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	3	2	010		Mar04	J
40820	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	J
40830	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Mar03	9
40830	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40830	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40830	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40830	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40830	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40830	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40830	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40830	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40830	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40830	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40830	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40830	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40830	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40830	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40830	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40830	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40830	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40830	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	9
40830	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40830	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40830	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40830	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40830	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40830	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40830	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar03	9
40830	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40831	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
40831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	010		Mar03	9
40831	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
40831	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
40831	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
40831	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
40831	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
40831	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
40831	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
40831	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
40831	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
40831	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
40831	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
40831	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
40831	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
40831	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
40831	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
40831	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
40831	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
40831	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Mar03	9
40831	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
40831	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
40831	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Mar03	9
40831	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
40831	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
40831	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
40831	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
40831	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar03	9
40831	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
40840	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
40840	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40840	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
40840	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
40840	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
40840	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
40840	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
40840	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
40840	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
40840	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
40840	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
40840	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
40840	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
40840	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
40840	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
40840	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
40840	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
40840	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
40840	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40840	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40840	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40840	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
40840	RUC	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	3.8953	2		090		Aug03	6
40840	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		090		Aug03	6
40840	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
40840	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
40840	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		090		Aug03	6
40840	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
40840	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40840	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
40840	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
40840	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
40842	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40842	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
40842	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40842	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
40842	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
40842	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
40842	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
40842	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
40842	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
40842	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
40842	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
40842	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
40842	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
40842	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
40842	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
40842	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
40842	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
40842	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
40842	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
40842	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40842	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40842	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40842	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
40842	RUC	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	3.8953	2		090		Aug03	6
40842	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		090		Aug03	6
40842	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
40842	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
40842	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		090		Aug03	6
40842	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
40842	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40842	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
40842	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
40842	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
40843	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40843	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
40843	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40843	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
40843	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
40843	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
40843	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
40843	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
40843	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
40843	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
40843	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
40843	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
40843	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
40843	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
40843	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
40843	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
40843	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
40843	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
40843	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
40843	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40843	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40843	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40843	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090		Aug03	6
40843	RUC	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	3.8953	4		090		Aug03	6
40843	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		090		Aug03	6
40843	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
40843	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
40843	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		090		Aug03	6
40843	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
40843	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40843	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
40843	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	2		090		Aug03	6
40843	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
40844	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40844	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
40844	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40844	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
40844	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
40844	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
40844	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
40844	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
40844	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
40844	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
40844	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
40844	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
40844	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
40844	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
40844	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
40844	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
40844	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
40844	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
40844	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
40844	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40844	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40844	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40844	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090		Aug03	6
40844	RUC	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	3.8953	4		090		Aug03	6
40844	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		090		Aug03	6
40844	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
40844	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
40844	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	12		090		Aug03	6
40844	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
40844	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40844	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
40844	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
40844	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
40845	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
40845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	6	5	090		Aug03	6
40845	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
40845	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
40845	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
40845	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
40845	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
40845	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
40845	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
40845	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
40845	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
40845	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
40845	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
40845	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
40845	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
40845	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
40845	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
40845	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
40845	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
40845	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
40845	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
40845	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
40845	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090		Aug03	6
40845	RUC	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	3.8953	4		090		Aug03	6
40845	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		090		Aug03	6
40845	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Aug03	6
40845	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
40845	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	12		090		Aug03	6
40845	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
40845	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
40845	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
40845	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
40845	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
41000	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
41000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
41000	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
41000	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
41000	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
41000	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
41000	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
41000	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
41000	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
41000	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
41000	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
41000	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
41000	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
41000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
41005	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	6
41005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Aug03	6
41005	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Aug03	6
41005	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Aug03	6
41005	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Aug03	6
41005	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010		Aug03	6
41005	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Aug03	6
41005	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Aug03	6
41005	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Aug03	6
41005	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Aug03	6
41005	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Aug03	6
41005	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Aug03	6
41005	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Aug03	6
41005	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Aug03	6
41005	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Aug03	6
41005	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Aug03	6
41005	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Aug03	6
41005	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Aug03	6
41005	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		010		Aug03	6
41005	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Aug03	6
41005	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Aug03	6
41005	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Aug03	6
41005	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010		Aug03	6
41005	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Aug03	6
41005	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Aug03	6
41005	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	1		010		Aug03	6
41005	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Aug03	6
41005	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		010		Aug03	6
41005	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Aug03	6
41005	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Aug03	6
41005	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Aug03	6
41005	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Aug03	6
41006	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41006	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
41006	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41006	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41006	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41006	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41006	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41006	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41006	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41006	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41006	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41006	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41006	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41006	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41006	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41006	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41006	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41006	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41006	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41006	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
41006	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
41006	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
41006	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Aug03	6
41006	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41006	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41006	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	1		090		Aug03	6
41006	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090		Aug03	6
41006	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41006	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41006	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41006	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41006	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41007	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41007	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
41007	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41007	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41007	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41007	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41007	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41007	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41007	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41007	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41007	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41007	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41007	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41007	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41007	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41007	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41007	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41007	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41007	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41007	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
41007	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
41007	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
41007	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Aug03	6
41007	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41007	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41007	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	1		090		Aug03	6
41007	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090		Aug03	6
41007	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41007	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41007	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41007	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41007	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41008	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41008	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
41008	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41008	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41008	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41008	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41008	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41008	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41008	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41008	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41008	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41008	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41008	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41008	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41008	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41008	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41008	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41008	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41008	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41008	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
41008	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
41008	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
41008	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Aug03	6
41008	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41008	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41008	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	1		090		Aug03	6
41008	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090		Aug03	6
41008	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41008	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41008	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41008	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41008	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41009	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41009	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
41009	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41009	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41009	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41009	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41009	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41009	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41009	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41009	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41009	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41009	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41009	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41009	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41009	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41009	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41009	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41009	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41009	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41009	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
41009	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
41009	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
41009	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Aug03	6
41009	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41009	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41009	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	1		090		Aug03	6
41009	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090		Aug03	6
41009	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41009	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41009	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41009	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41009	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41010	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	J
41010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	J
41010	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar04	J
41010	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	J
41010	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	J
41010	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Mar04	J
41010	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010		Mar04	J
41010	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	J
41010	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	J
41010	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	J
41010	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	J
41010	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Mar04	J
41010	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar04	J
41010	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar04	J
41010	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	J
41010	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar04	J
41010	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar04	J
41010	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar04	J
41010	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar04	J
41010	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar04	J
41010	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	J
41010	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	J
41010	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	J
41010	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar04	J
41010	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Mar04	J
41010	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	J
41010	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar04	J
41010	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar04	J
41010	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar04	J
41010	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2	1	010		Mar04	J
41010	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar04	J
41010	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	J
41015	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
41015	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	2	2	090		Aug03	6
41015	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41015	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41015	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41015	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41015	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090		Aug03	6
41015	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	090		Aug03	6
41015	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41015	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41015	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41015	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41015	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41015	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41015	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41015	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41015	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	6	4	090		Aug03	6
41015	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41015	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Aug03	6
41015	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41015	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	2		090		Aug03	6
41015	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41015	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41015	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41015	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41015	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41015	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15	5	090		Aug03	6
41016	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41016	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
41016	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	2	2	090		Aug03	6
41016	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41016	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41016	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41016	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41016	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090		Aug03	6
41016	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	090		Aug03	6
41016	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41016	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41016	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41016	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41016	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41016	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41016	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41016	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41016	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	6	4	090		Aug03	6
41016	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41016	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Aug03	6
41016	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41016	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	2		090		Aug03	6
41016	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41016	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41016	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41016	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41016	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41016	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15	5	090		Aug03	6
41017	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41017	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
41017	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	2	2	090		Aug03	6
41017	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41017	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41017	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41017	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41017	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090		Aug03	6
41017	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	090		Aug03	6
41017	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41017	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41017	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41017	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41017	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41017	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41017	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41017	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41017	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	6	4	090		Aug03	6
41017	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41017	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Aug03	6
41017	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41017	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	2		090		Aug03	6
41017	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41017	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41017	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41017	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41017	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41017	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15	5	090		Aug03	6
41018	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41018	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
41018	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	2	2	090		Aug03	6
41018	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41018	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41018	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41018	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41018	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090		Aug03	6
41018	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	090		Aug03	6
41018	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41018	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41018	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41018	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41018	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41018	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41018	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41018	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41018	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	6	4	090		Aug03	6
41018	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41018	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		2	090		Aug03	6
41018	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41018	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	2		090		Aug03	6
41018	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41018	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41018	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41018	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41018	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41018	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15	5	090		Aug03	6
41100	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
41100	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010			
41100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	010			
41100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
41100	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	1	010			
41100	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1	1	010			
41100	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1	1	010			
41100	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		010			
41100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
41100	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010			
41100	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		010			
41100	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
41100	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
41100	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
41100	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
41100	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
41100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
41100	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
41100	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
41100	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		010			
41100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1	1	010			
41100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
41100	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010			
41100	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
41100	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1	1	010			
41100	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010			
41100	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
41105	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
41105	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010			
41105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	010			
41105	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
41105	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	1	010			
41105	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1	1	010			
41105	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1	1	010			
41105	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		010			
41105	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
41105	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010			
41105	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		010			
41105	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
41105	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
41105	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
41105	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
41105	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
41105	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
41105	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
41105	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
41105	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		010			
41105	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1	1	010			
41105	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
41105	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010			
41105	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
41105	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1	1	010			
41105	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010			
41105	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
41108	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
41108	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010			
41108	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	010			
41108	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
41108	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	1	010			
41108	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1	1	010			
41108	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1	1	010			
41108	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		010			
41108	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
41108	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010			
41108	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		010			
41108	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
41108	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
41108	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
41108	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
41108	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
41108	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
41108	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
41108	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
41108	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		010			
41108	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1	1	010			
41108	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
41108	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010			
41108	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
41108	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1	1	010			
41108	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010			
41108	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		010			
41110	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	9
41110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	9
41110	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar03	9
41110	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	9
41110	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010		Mar03	9
41110	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	9
41110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	9
41110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	9
41110	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	9
41110	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	9
41110	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar03	9
41110	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar03	9
41110	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar03	9
41110	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar03	9
41110	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar03	9
41110	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar03	9
41110	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar03	9
41110	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar03	9
41110	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	9
41110	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	9
41110	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Mar03	9
41110	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	9
41110	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar03	9
41110	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar03	9
41110	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Mar03	9
41110	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	9
41110	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	9
41110	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar03	9
41112	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
41112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	9
41112	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
41112	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
41112	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
41112	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
41112	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
41112	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
41112	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
41112	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
41112	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
41112	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2		090		Mar03	9
41112	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
41112	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
41112	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
41112	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
41112	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
41112	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
41112	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	9
41112	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	9
41112	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
41112	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	9
41112	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		Mar03	9
41112	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
41112	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
41112	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
41112	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
41112	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
41113	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	9
41113	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	9
41113	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar03	9
41113	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	9
41113	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		090		Mar03	9
41113	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	9
41113	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	9
41113	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	9
41113	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	9
41113	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	9
41113	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar03	9
41113	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	2		090		Mar03	9
41113	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	9
41113	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar03	9
41113	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar03	9
41113	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar03	9
41113	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar03	9
41113	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	9
41113	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	9
41113	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	9
41113	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		090		Mar03	9
41113	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	9
41113	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	6		090		Mar03	9
41113	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar03	9
41113	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Mar03	9
41113	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	9
41113	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar03	9
41113	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	9
41114	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar03	9
41114	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar03	9
41114	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Mar03	9
41114	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3.5	090		Mar03	9
41114	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3.5	090		Mar03	9
41115	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	J
41115	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	J
41115	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Mar04	J
41115	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	J
41115	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	J
41115	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Mar04	J
41115	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		010		Mar04	J
41115	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	J
41115	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	J
41115	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	J
41115	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	J
41115	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		Mar04	J
41115	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Mar04	J
41115	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Mar04	J
41115	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	J
41115	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar04	J
41115	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Mar04	J
41115	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Mar04	J
41115	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Mar04	J
41115	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar04	J
41115	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	J
41115	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	J
41115	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	J
41115	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar04	J
41115	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Mar04	J
41115	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	J
41115	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		010		Mar04	J
41115	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Mar04	J
41115	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar04	J
41115	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2	1	010		Mar04	J
41115	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Mar04	J
41115	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	J
41115	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Mar04	J
41116	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	J
41116	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Mar04	J
41116	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	J
41116	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar04	J
41116	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar04	J
41116	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2	1	090		Mar04	J
41116	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Mar04	J
41116	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	J
41116	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar04	J
41116	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar04	J
41116	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar04	J
41116	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Mar04	J
41116	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar04	J
41116	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar04	J
41116	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar04	J
41116	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar04	J
41116	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	090		Mar04	J
41116	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	090		Mar04	J
41116	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	090		Mar04	J
41116	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar04	J
41116	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	J
41116	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	J
41116	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	J
41116	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar04	J
41116	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Mar04	J
41116	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	J
41116	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		090		Mar04	J
41116	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar04	J
41116	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Mar04	J
41116	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2	1	090		Mar04	J
41116	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar04	J
41116	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	J
41116	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar04	J
41120	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
41120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
41120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
41120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
41120	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
41120	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
41120	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
41120	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
41120	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
41120	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
41120	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
41120	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
41120	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
41130	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
41130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
41130	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
41130	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
41130	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
41130	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
41130	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
41130	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
41130	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
41130	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
41130	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
41130	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
41130	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
41135	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
41135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
41135	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
41135	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
41135	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
41135	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
41135	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
41135	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
41135	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
41135	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
41135	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
41135	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
41135	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
41135	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
41135	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
41140	RUC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Mar04	I
41140	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
41140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
41140	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
41140	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Mar04	I
41140	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
41140	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
41140	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5	090		Mar04	I
41140	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Mar04	I
41140	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5	090		Mar04	I
41140	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		5	090		Mar04	I
41140	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Mar04	I
41140	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
41140	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
41140	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
41140	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
41140	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
41145	RUC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Mar04	I
41145	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		5	090		Mar04	I
41145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
41145	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
41145	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		5.5	090		Mar04	I
41145	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6.5	090		Mar04	I
41145	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6.5	090		Mar04	I
41145	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		6.5	090		Mar04	I
41145	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6.5	090		Mar04	I
41145	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		6.5	090		Mar04	I
41145	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		6.5	090		Mar04	I
41145	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6.5	090		Mar04	I
41145	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.934		1	090		Mar04	I
41145	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		20	090		Mar04	I
41145	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		10	090		Mar04	I
41145	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
41145	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		5	090		Mar04	I
41150	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
41150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
41150	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
41150	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Mar04	I
41150	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
41150	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
41150	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5	090		Mar04	I
41150	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Mar04	I
41150	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5	090		Mar04	I
41150	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		5	090		Mar04	I
41150	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Mar04	I
41150	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
41150	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
41150	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
41150	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
41153	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
41153	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
41153	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
41153	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Mar04	I
41153	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
41153	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
41153	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5	090		Mar04	I
41153	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Mar04	I
41153	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5	090		Mar04	I
41153	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		5	090		Mar04	I
41153	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Mar04	I
41153	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
41153	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
41153	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
41153	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
41155	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Mar04	I
41155	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Mar04	I
41155	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
41155	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Mar04	I
41155	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
41155	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
41155	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5	090		Mar04	I
41155	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Mar04	I
41155	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5	090		Mar04	I
41155	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		5	090		Mar04	I
41155	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Mar04	I
41155	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Mar04	I
41155	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Mar04	I
41155	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
41155	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Mar04	I
41250	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		Feb05	
41250	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
41250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
41250	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010	Feb05	Feb05	
41250	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010		Feb05	
41250	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Feb05	
41250	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010		Feb05	
41250	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010		Feb05	
41250	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Feb05	
41250	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Feb05	
41250	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Feb05	
41250	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Feb05	
41250	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010	Feb05	Feb05	
41250	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010	Feb05	Feb05	
41250	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Feb05	
41250	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Feb05	
41250	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Feb05	
41250	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
41251	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		Feb05	
41251	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
41251	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
41251	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010	Feb05	Feb05	
41251	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010		Feb05	
41251	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Feb05	
41251	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010		Feb05	
41251	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010		Feb05	
41251	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Feb05	
41251	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Feb05	
41251	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Feb05	
41251	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Feb05	
41251	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010	Feb05	Feb05	
41251	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010	Feb05	Feb05	
41251	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Feb05	
41251	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Feb05	
41251	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Feb05	
41251	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
41252	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		Feb05	
41252	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
41252	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
41252	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010	Feb05	Feb05	
41252	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010		Feb05	
41252	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Feb05	
41252	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010		Feb05	
41252	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010		Feb05	
41252	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Feb05	
41252	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Feb05	
41252	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Feb05	
41252	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Feb05	
41252	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010	Feb05	Feb05	
41252	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010	Feb05	Feb05	
41252	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Feb05	
41252	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Feb05	
41252	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Feb05	
41252	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
41500	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
41500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
41500	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
41500	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
41500	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
41500	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
41500	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
41500	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		2	090		Mar04	I
41500	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		2	090		Mar04	I
41500	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
41500	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
41500	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
41500	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
41510	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
41510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
41510	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
41510	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
41510	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
41510	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
41510	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
41510	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		2	090		Mar04	I
41510	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		2	090		Mar04	I
41510	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	090		Mar04	I
41510	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
41510	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
41510	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
41512	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		CPT09	10
41512	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	10
41512	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	10
41512	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		CPT09	10
41512	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		CPT09	10
41512	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		CPT09	10
41512	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		3	090		CPT09	10
41512	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116		3	090		CPT09	10
41512	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		CPT09	10
41512	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		CPT09	10
41512	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090		CPT09	10
41512	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		CPT09	10
41512	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		CPT09	10
41512	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		3	090		CPT09	10
41520	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	J
41520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar04	J
41520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	J
41520	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar04	J
41520	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar04	J
41520	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Mar04	J
41520	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Mar04	J
41520	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	J
41520	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar04	J
41520	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar04	J
41520	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar04	J
41520	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Mar04	J
41520	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Mar04	J
41520	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Mar04	J
41520	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar04	J
41520	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar04	J
41520	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	090		Mar04	J
41520	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	090		Mar04	J
41520	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	090		Mar04	J
41520	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Mar04	J
41520	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	J
41520	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	J
41520	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	J
41520	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar04	J
41520	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Mar04	J
41520	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	J
41520	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	6		090		Mar04	J
41520	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Mar04	J
41520	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Mar04	J
41520	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	3	2	090		Mar04	J
41520	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		Mar04	J
41520	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	J
41530	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	3	2	010		CPT09	11
41530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		CPT09	11
41530	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT09	11
41530	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		CPT09	11
41530	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	010		CPT09	11
41530	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		010		CPT09	11
41530	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		CPT09	11
41530	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	2		010		CPT09	11
41530	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	010		CPT09	11
41530	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	3	2	010		CPT09	11
41530	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		010		CPT09	11
41530	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	3	2	010		CPT09	11
41530	RUC	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	1995	1		010		CPT09	11
41530	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	3	2	010		CPT09	11
41530	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	010		CPT09	11
41530	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	3	2	010		CPT09	11
41530	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	1		010		CPT09	11
41530	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	3	2	010		CPT09	11
41530	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		010		CPT09	11
41530	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1		010		CPT09	11
41530	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	3	2	010		CPT09	11
41530	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	3	2	010		CPT09	11
41530	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	7	2	010		CPT09	11
41530	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		010		CPT09	11
41530	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	1		010		CPT09	11
41800	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Sep04	
41800	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
41800	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2	1	010		Sep04	
41800	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41800	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	010	Sep04	Sep04	
41800	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	010	Sep04	Sep04	
41800	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41800	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	2	1	010		Sep04	
41800	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41800	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41800	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2	1	010		Sep04	
41800	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Sep04	
41800	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		Sep04	
41800	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Sep04	
41800	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Sep04	
41800	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Sep04	
41800	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
41800	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41800	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010		Sep04	
41800	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
41800	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41800	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41800	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	3		010		Sep04	
41800	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Sep04	
41800	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	6	4	010		Sep04	
41800	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41800	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41800	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2	1	010		Sep04	
41800	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41800	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Sep04	
41800	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010	88170	Sep04	
41805	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41805	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Sep04	
41805	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
41805	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	3	2	010		Sep04	
41805	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41805	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4	010	Sep04	Sep04	
41805	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	6	4	010	Sep04	Sep04	
41805	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41805	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	3	2	010		Sep04	
41805	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41805	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41805	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	3	2	010		Sep04	
41805	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	010		Sep04	
41805	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	010		Sep04	
41805	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	010		Sep04	
41805	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Sep04	
41805	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Sep04	
41805	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
41805	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41805	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
41805	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41805	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41805	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	6	4	010		Sep04	
41805	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41805	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41805	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	3	2	010		Sep04	
41805	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41805	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010	88170	Sep04	
41806	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41806	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Sep04	
41806	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
41806	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	3	2	010		Sep04	
41806	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41806	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4	010	Sep04	Sep04	
41806	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	6	4	010	Sep04	Sep04	
41806	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41806	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	3	2	010		Sep04	
41806	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41806	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41806	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	3	2	010		Sep04	
41806	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	010		Sep04	
41806	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	010		Sep04	
41806	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	010		Sep04	
41806	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Sep04	
41806	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Sep04	
41806	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
41806	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41806	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
41806	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41806	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41806	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	6	4	010		Sep04	
41806	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41806	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41806	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	3	2	010		Sep04	
41806	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	3	2	010		Sep04	
41806	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41806	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010	88170	Sep04	
41822	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41822	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Sep04	
41822	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
41822	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010		Sep04	
41822	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41822	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010	Sep04	Sep04	
41822	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010	Sep04	Sep04	
41822	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41822	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Sep04	
41822	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41822	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41822	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Sep04	
41822	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Sep04	
41822	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Sep04	
41822	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Sep04	
41822	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Sep04	
41822	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Sep04	
41822	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
41822	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41822	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Sep04	
41822	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41822	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41822	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		010		Sep04	
41822	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41822	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41822	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Sep04	
41822	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41823	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41823	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
41823	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41823	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41823	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41823	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41823	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41823	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41823	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41823	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41823	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41823	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41823	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41823	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41823	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41823	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41823	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41823	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41823	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41823	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
41823	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41823	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41823	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41823	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41823	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41823	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41823	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41825	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Sep04	
41825	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
41825	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2		010		Sep04	
41825	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41825	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010	Sep04	Sep04	
41825	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010	Sep04	Sep04	
41825	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41825	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Sep04	
41825	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41825	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41825	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Sep04	
41825	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Sep04	
41825	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Sep04	
41825	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Sep04	
41825	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Sep04	
41825	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Sep04	
41825	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
41825	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41825	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
41825	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41825	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41825	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		010		Sep04	
41825	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41825	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41825	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Sep04	
41825	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41825	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010	88170	Sep04	
41826	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41826	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010		Sep04	
41826	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4	2	010		Sep04	
41826	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2	1	010		Sep04	
41826	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41826	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010	Sep04	Sep04	
41826	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	010	Sep04	Sep04	
41826	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41826	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Sep04	
41826	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41826	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41826	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Sep04	
41826	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	010		Sep04	
41826	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	010		Sep04	
41826	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	010		Sep04	
41826	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Sep04	
41826	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Sep04	
41826	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
41826	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41826	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Sep04	
41826	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41826	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41826	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		010		Sep04	
41826	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41826	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41826	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Sep04	
41826	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41826	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010	88170	Sep04	
41827	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41827	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
41827	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41827	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41827	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41827	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41827	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41827	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41827	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41827	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41827	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41827	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41827	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41827	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41827	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41827	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41827	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41827	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41827	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41827	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
41827	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
41827	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
41827	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
41827	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41827	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41827	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41827	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41827	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41827	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41827	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41827	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Aug03	6
41828	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41828	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Sep04	
41828	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
41828	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Sep04	
41828	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41828	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010	Sep04	Sep04	
41828	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010	Sep04	Sep04	
41828	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41828	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Sep04	
41828	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41828	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41828	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Sep04	
41828	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Sep04	
41828	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Sep04	
41828	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Sep04	
41828	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41828	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Sep04	
41828	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41828	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41828	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41828	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41828	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Sep04	
41828	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41830	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Sep04	
41830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	010		Sep04	
41830	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4	2	010		Sep04	
41830	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2	1	010		Sep04	
41830	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	Sep04	Sep04	
41830	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010	Sep04	Sep04	
41830	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	010	Sep04	Sep04	
41830	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010	Sep04	Sep04	
41830	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Sep04	
41830	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		010		Sep04	
41830	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Sep04	
41830	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Sep04	
41830	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	3	2	010		Sep04	
41830	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	3	2	010		Sep04	
41830	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	3	2	010		Sep04	
41830	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Sep04	
41830	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Sep04	
41830	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Sep04	
41830	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
41830	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
41830	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		010		Sep04	
41830	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
41830	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		010		Sep04	
41830	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		010		Sep04	
41830	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Sep04	
41830	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Sep04	
41830	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		010		Sep04	
41830	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
41830	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010	88170	Sep04	
41872	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41872	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
41872	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41872	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41872	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41872	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41872	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41872	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41872	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41872	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41872	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41872	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41872	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41872	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41872	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41872	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41872	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41872	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41872	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41872	RUC	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	4.2615	2		090		Aug03	6
41872	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41872	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41872	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41872	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41872	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41872	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41872	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
41874	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
41874	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
41874	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
41874	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
41874	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
41874	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
41874	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
41874	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
41874	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
41874	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
41874	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
41874	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
41874	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
41874	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
41874	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
41874	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
41874	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
41874	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
41874	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
41874	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
41874	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
41874	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
41874	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
41874	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Aug03	6
41874	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
41874	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
41874	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42000	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42000	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42000	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42000	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42000	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42000	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42000	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42000	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42000	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42000	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42000	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42000	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42100	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		Feb05	
42100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1	1	010		Feb05	
42100	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Feb05	
42100	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Feb05	
42100	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Feb05	
42100	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Feb05	
42100	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Feb05	
42100	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Feb05	
42100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Feb05	
42100	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Feb05	
42100	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Feb05	
42100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
42104	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		Feb05	
42104	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
42104	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
42104	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010		Feb05	
42104	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Feb05	
42104	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010		Feb05	
42104	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010		Feb05	
42104	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Feb05	
42104	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Feb05	
42104	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Feb05	
42104	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Feb05	
42104	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Feb05	
42104	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Feb05	
42104	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Feb05	
42104	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
42106	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		Feb05	
42106	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
42106	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
42106	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		Feb05	
42106	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010		Feb05	
42106	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Feb05	
42106	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010		Feb05	
42106	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010		Feb05	
42106	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		Feb05	
42106	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Feb05	
42106	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Feb05	
42106	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Feb05	
42106	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Feb05	
42106	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Feb05	
42106	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Feb05	
42106	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Feb05	
42106	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010	Feb05	Feb05	
42106	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010	Feb05	Feb05	
42107	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Feb05	
42107	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Feb05	
42107	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Feb05	
42107	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Feb05	
42107	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Feb05	
42107	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Feb05	
42107	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Feb05	
42107	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Feb05	
42107	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Feb05	
42107	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Feb05	
42107	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Feb05	
42107	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Feb05	
42107	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1	1	090		Feb05	
42107	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Feb05	
42107	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	090		Feb05	
42107	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	090		Feb05	
42107	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	090		Feb05	
42107	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Feb05	
42107	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Feb05	
42107	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Feb05	
42107	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Feb05	
42107	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Feb05	
42107	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6		090		Feb05	
42107	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Feb05	
42107	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Feb05	
42107	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Feb05	
42107	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Feb05	
42120	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
42120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
42120	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
42120	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
42120	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42120	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		Mar04	I
42120	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		3	090		Mar04	I
42120	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
42120	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
42120	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
42120	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
42140	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	6
42140	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
42140	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42140	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42140	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42140	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42140	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42140	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42140	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42140	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42140	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42140	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Aug03	6
42140	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42140	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42140	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42140	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42140	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42140	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42140	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42140	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Aug03	6
42140	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
42140	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6		090		Aug03	6
42140	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42140	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Aug03	6
42140	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
42140	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr08	ss
42145	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42145	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
42145	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42145	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
42145	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
42145	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
42145	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42145	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
42145	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42145	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42160	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		Feb05	
42160	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
42160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
42160	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010		Feb05	
42160	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		Feb05	
42160	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010		Feb05	
42160	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010		Feb05	
42160	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Feb05	
42160	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Feb05	
42160	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Feb05	
42160	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Feb05	
42160	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		Feb05	
42160	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010		Feb05	
42160	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Feb05	
42160	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
42180	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
42180	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42180	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
42180	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42180	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42180	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42180	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42180	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42180	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42180	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42180	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42180	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
42180	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010			
42180	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42180	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42180	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42180	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42182	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
42182	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42182	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42182	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
42182	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42182	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42182	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42182	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42182	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42182	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42182	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42182	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42182	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
42182	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010			
42182	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42182	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42182	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42182	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42200	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42200	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
42200	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42200	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42200	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42200	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
42200	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
42200	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42200	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42205	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42205	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42205	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
42205	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42205	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42205	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42205	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42205	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
42205	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42205	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42210	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42210	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42210	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
42210	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42210	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42210	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42210	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
42210	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Mar04	I
42210	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
42210	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Mar04	I
42215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42215	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42215	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
42215	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42215	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42215	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42215	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Mar04	I
42215	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Mar04	I
42215	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42215	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42220	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42220	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090		Mar04	I
42220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42220	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42220	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42220	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42220	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Mar04	I
42220	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42220	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42225	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3.5	090		Mar04	I
42225	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42225	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42225	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
42225	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42225	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
42225	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
42225	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
42225	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Mar04	I
42225	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Mar04	I
42225	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42225	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42225	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42225	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42225	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42226	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3.5	090		Mar04	I
42226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42226	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42226	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
42226	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42226	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
42226	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
42226	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
42226	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
42226	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
42226	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42226	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42226	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42226	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42226	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42227	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42227	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42227	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
42227	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42227	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
42227	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
42227	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
42227	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
42227	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
42227	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42227	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42227	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42227	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42227	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42235	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42235	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42235	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42235	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		4	090		Mar04	I
42235	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42235	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Mar04	I
42235	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Mar04	I
42235	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2	090		Mar04	I
42235	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Mar04	I
42235	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
42235	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42235	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42235	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42235	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42235	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42260	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		Aug03	6
42260	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
42260	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42260	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42260	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42260	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42260	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42260	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42260	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42260	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42260	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
42260	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42260	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	6
42260	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
42260	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42260	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42260	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42260	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42260	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42260	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42260	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42260	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Aug03	6
42260	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		090		Aug03	6
42260	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
42260	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42260	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	8		090		Aug03	6
42260	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		Aug03	6
42260	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
42260	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42260	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		Aug03	6
42280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1			Sep04	
42280	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		010		Sep04	
42280	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		010		Sep04	
42280	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		010		Sep04	
42280	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Sep04	
42280	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Sep04	
42280	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Sep04	
42280	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		010		Sep04	
42280	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010		Sep04	
42280	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Sep04	
42280	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		010		Sep04	
42280	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Sep04	
42280	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Sep04	
42280	RUC	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		010		Sep04	
42280	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	4		010		Sep04	
42280	RUC	Lab	SL046	dental impression tray	item	0.446	1		010		Sep04	
42280	RUC	Lab	SL047	dental stone powder	lb	1.598	0.75		010		Sep04	
42280	RUC	Lab	SL081	"impression material, alginate (dental)"	lb	7.5	0.18		010		Sep04	
42280	RUC	Lab	SL150	"wax, bite registration wafer"	item	0.323	1		010		Sep04	
42280	RUC	Lab	SL202	"tissue conditioner, coesoft (0.5 oz, each, liquid and powder)"	item	8.54	1		010		Sep04	
42281	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42281	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
42281	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42281	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42281	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42281	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42281	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42281	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
42281	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010			
42281	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42281	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42281	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42281	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42300	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
42300	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42300	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
42300	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42300	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42300	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42300	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42300	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42300	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
42300	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
42300	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42300	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
42300	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
42305	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42310	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42310	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42310	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42310	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42310	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42310	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42310	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42310	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42310	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42310	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42320	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
42320	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42320	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
42320	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42320	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42320	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42320	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42320	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42320	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42320	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42320	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42320	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010			
42320	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
42320	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42320	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
42320	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42320	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42330	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42330	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
42330	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42330	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42330	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42330	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42330	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42330	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42330	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42330	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42330	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42330	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42330	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42330	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42335	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42335	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
42335	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
42335	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42335	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
42335	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42335	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42335	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42335	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42335	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42335	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42335	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42335	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
42335	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42335	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
42335	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Aug03	6
42335	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42335	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42335	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42335	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42335	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42335	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42335	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42335	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Aug03	6
42335	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
42335	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
42335	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
42335	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090		Aug03	6
42335	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42335	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Aug03	6
42335	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
42335	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
42335	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42335	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		090		Aug03	6
42340	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
42340	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
42340	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42340	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
42340	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42340	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42340	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42340	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42340	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42340	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42340	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42340	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
42340	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42340	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
42340	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Aug03	6
42340	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42340	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42340	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42340	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42340	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42340	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42340	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42340	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Aug03	6
42340	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
42340	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
42340	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
42340	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		090		Aug03	6
42340	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42340	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Aug03	6
42340	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
42340	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
42340	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42340	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
42340	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		090		Aug03	6
42400	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
42400	RUC	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	28.42	1		000			
42400	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
42400	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
42400	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
42400	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
42400	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
42400	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
42405	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
42405	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42405	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
42405	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42405	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42405	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42405	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42405	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
42405	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
42405	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
42405	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
42405	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
42405	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		010			
42405	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42405	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1	1	010			
42408	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42408	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
42408	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42408	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
42408	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42408	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42408	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42408	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42408	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42408	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42408	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42408	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
42408	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42408	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
42408	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Aug03	6
42408	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42408	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42408	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42408	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42408	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42408	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42408	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42408	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Aug03	6
42408	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
42408	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
42408	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	1		090		Aug03	6
42408	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42408	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Aug03	6
42408	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
42408	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
42408	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42408	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		090		Aug03	6
42409	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42409	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
42409	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42409	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
42409	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42409	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42409	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42409	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42409	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42409	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42409	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42409	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
42409	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42409	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
42409	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Aug03	6
42409	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42409	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42409	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42409	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42409	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42409	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42409	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42409	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Aug03	6
42409	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
42409	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
42409	RUC	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	4.08	1		090		Aug03	6
42409	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42409	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Aug03	6
42409	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
42409	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
42409	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42409	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	2		090		Aug03	6
42410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42410	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Apr08	df
42415	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42420	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42425	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42426	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42426	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42440	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Feb08	ss
42440	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42450	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	I
42450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Mar04	I
42450	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	I
42450	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	090		Mar04	I
42450	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090		Mar04	I
42450	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	2	090		Mar04	I
42450	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3	2	090		Mar04	I
42450	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Mar04	I
42450	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Mar04	I
42450	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	090		Mar04	I
42450	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	090		Mar04	I
42450	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	090		Mar04	I
42450	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Mar04	I
42450	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	I
42450	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	I
42450	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	I
42450	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar04	I
42450	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	I
42450	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Mar04	I
42450	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar04	I
42450	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
42500	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	I
42500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Mar04	I
42500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	I
42500	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	090		Mar04	I
42500	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090		Mar04	I
42500	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	2	090		Mar04	I
42500	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3	2	090		Mar04	I
42500	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Mar04	I
42500	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Mar04	I
42500	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	090		Mar04	I
42500	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	090		Mar04	I
42500	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	090		Mar04	I
42500	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Mar04	I
42500	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	I
42500	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	I
42500	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	I
42500	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar04	I
42500	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	I
42500	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Mar04	I
42500	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar04	I
42500	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
42505	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar04	I
42505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar04	I
42505	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	I
42505	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	1	090		Mar04	I
42505	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090		Mar04	I
42505	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	2	090		Mar04	I
42505	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3	2	090		Mar04	I
42505	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Mar04	I
42505	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Mar04	I
42505	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	090		Mar04	I
42505	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	090		Mar04	I
42505	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	090		Mar04	I
42505	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Mar04	I
42505	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	I
42505	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	I
42505	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	I
42505	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar04	I
42505	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	I
42505	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Mar04	I
42505	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar04	I
42505	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	I
42507	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42507	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
42507	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
42507	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
42507	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
42507	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42507	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
42507	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090		Mar04	I
42509	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42509	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42509	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2.5	090		Mar04	I
42509	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5	090		Mar04	I
42509	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3.5	090		Mar04	I
42509	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3.5	090		Mar04	I
42509	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Mar04	I
42509	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3.5	090		Mar04	I
42509	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3.5	090		Mar04	I
42509	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42510	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
42510	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
42510	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
42510	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
42510	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42510	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
42510	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090		Mar04	I
42550	RUC	"Hypodermic, IV"	SC047	sialography infusion unit	item	24	1		000		Jan04	7
42600	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Aug03	6
42600	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Aug03	6
42600	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42600	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
42600	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42600	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42600	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42600	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42600	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42600	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
42600	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42600	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
42600	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Aug03	6
42600	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42600	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42600	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42600	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42600	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42600	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42600	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42600	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Aug03	6
42600	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Aug03	6
42600	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
42600	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
42600	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42600	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Aug03	6
42600	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
42600	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
42600	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42600	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Aug03	6
42650	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
42650	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
42650	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
42650	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		000			
42650	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
42650	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
42660	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
42660	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000			
42660	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
42660	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
42660	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		000			
42660	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
42660	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
42665	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Aug03	6
42665	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	6
42665	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
42665	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Aug03	6
42665	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
42665	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Aug03	6
42665	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Aug03	6
42665	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
42665	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Aug03	6
42665	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
42665	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Aug03	6
42665	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		090		Aug03	6
42665	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.086	1		090		Aug03	6
42665	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Aug03	6
42665	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Aug03	6
42665	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	6
42665	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Aug03	6
42665	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Aug03	6
42665	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		090		Aug03	6
42665	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Aug03	6
42665	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Aug03	6
42665	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	6
42665	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	2		090		Aug03	6
42665	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		090		Aug03	6
42665	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Aug03	6
42665	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.408	2		090		Aug03	6
42665	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Aug03	6
42665	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Aug03	6
42665	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Aug03	6
42665	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Aug03	6
42700	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42700	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42700	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
42700	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010			
42700	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
42700	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42700	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42700	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42700	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42700	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42700	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42700	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42700	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42720	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42720	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		010			
42720	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
42720	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	010			
42720	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
42720	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42720	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42720	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42720	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42720	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42720	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42720	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
42720	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42725	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Mar04	I
42725	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42725	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42725	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42725	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42725	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
42725	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		Mar04	I
42725	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		Mar04	I
42725	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42800	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42800	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42800	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42800	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42800	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42800	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42800	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42800	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
42800	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
42800	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		010			
42800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42804	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42804	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42804	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42804	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42804	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42804	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42804	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42804	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
42804	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		010			
42804	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		010			
42804	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42804	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	4	2	010			
42804	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		010			
42806	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42806	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42806	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42806	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42806	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42806	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42806	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42806	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42806	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
42806	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		010			
42806	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		010			
42806	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42806	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	4	2	010			
42806	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		010			
42808	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42808	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42808	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42808	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42808	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42808	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
42808	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
42808	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
42808	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42808	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42808	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42809	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
42809	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
42809	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
42809	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		010			
42809	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
42809	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
42809	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		010			
42809	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
42810	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	21
42810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Jan04	21
42810	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	21
42810	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	21
42810	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	21
42810	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	3	2	090		Jan04	21
42810	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Jan04	21
42810	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Jan04	21
42810	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Jan04	21
42810	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		090		Jan04	21
42810	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		090		Jan04	21
42810	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
42810	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
42810	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
42810	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Jan04	21
42810	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	21
42810	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Jan04	21
42810	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	1		090		Jan04	21
42810	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	21
42810	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		Jan04	21
42810	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Jan04	21
42810	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
42810	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Jan04	21
42815	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
42815	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42815	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1.5	090		Mar04	I
42815	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090		Mar04	I
42815	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2.5	090		Mar04	I
42815	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2.5	090		Mar04	I
42815	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2.5	090		Mar04	I
42815	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2.5	090		Mar04	I
42815	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		2.5	090		Mar04	I
42815	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		5	090		Mar04	I
42820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Mar04	I
42820	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		Mar04	I
42821	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
42825	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42826	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		Mar04	I
42826	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		Mar04	I
42830	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
42831	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42835	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		Mar04	I
42835	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42836	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		Mar04	I
42836	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42842	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
42842	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42842	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
42842	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
42842	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
42842	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
42842	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42842	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		Mar04	I
42842	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		3	090		Mar04	I
42842	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
42842	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42842	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42842	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42844	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42844	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42844	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
42844	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
42844	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
42844	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
42844	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
42844	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
42844	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
42844	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
42844	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
42844	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
42844	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
42845	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42845	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
42845	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
42845	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
42845	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5	090		Mar04	I
42845	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Mar04	I
42845	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5	090		Mar04	I
42845	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		5	090		Mar04	I
42845	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Mar04	I
42845	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
42845	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
42845	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
42860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		Mar04	I
42860	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
42870	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
42870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
42870	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
42870	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090		Mar04	I
42870	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2.5	090		Mar04	I
42870	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		2.5	090		Mar04	I
42870	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2.5	090		Mar04	I
42870	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		2.5	090		Mar04	I
42870	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		2.5	090		Mar04	I
42870	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2.5	090		Mar04	I
42870	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42870	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42870	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42890	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
42890	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42890	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
42890	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
42890	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
42890	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
42890	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
42890	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
42890	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
42890	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
42890	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42890	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42890	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42892	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42892	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
42892	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42892	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
42892	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
42892	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
42892	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
42892	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
42892	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
42892	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
42892	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
42892	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
42892	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
42892	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
42892	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
42894	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42894	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	I
42894	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42894	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Mar04	I
42894	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Mar04	I
42894	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Mar04	I
42894	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		5	090		Mar04	I
42894	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Mar04	I
42894	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		5	090		Mar04	I
42894	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		5	090		Mar04	I
42894	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Mar04	I
42894	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
42894	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
42894	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
42894	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
42900	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084		1	010			
42900	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
42900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
42900	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
42900	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
42900	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116		1	010			
42900	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
42950	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
42950	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	I
42950	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
42950	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5	090		Mar04	I
42950	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3.5	090		Mar04	I
42950	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3.5	090		Mar04	I
42950	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Mar04	I
42950	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3.5	090		Mar04	I
42950	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		3.5	090		Mar04	I
42950	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3.5	090		Mar04	I
42950	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42950	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42950	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42953	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3	090		Mar04	I
42953	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	I
42953	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42953	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Mar04	I
42953	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Mar04	I
42953	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Mar04	I
42953	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		4	090		Mar04	I
42953	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Mar04	I
42953	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		4	090		Mar04	I
42953	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090		Mar04	I
42953	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Mar04	I
42953	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		12	090		Mar04	I
42953	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		6	090		Mar04	I
42953	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
42953	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090		Mar04	I
42955	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		2	090		Mar04	I
42955	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42955	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	I
42955	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Mar04	I
42955	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090		Mar04	I
42955	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		3	090		Mar04	I
42955	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		3	090		Mar04	I
42955	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Mar04	I
42955	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		3	090		Mar04	I
42955	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		3	090		Mar04	I
42955	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		3	090		Mar04	I
42955	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Mar04	I
42955	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		4	090		Mar04	I
42955	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Mar04	I
42955	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		2	090		Mar04	I
42960	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
42960	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		1	010			
42960	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010			
42960	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		1	010			
42960	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
42960	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116		1	010			
42960	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
42960	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		1	010			
42960	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		1	010			
42961	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
42961	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42961	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42961	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42961	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42961	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
42961	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		Mar04	I
42961	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		Mar04	I
42961	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42962	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
42962	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42962	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42962	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42962	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42962	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
42962	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		Mar04	I
42962	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		Mar04	I
42962	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42970	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
42970	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42970	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42970	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42970	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42970	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
42970	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		Mar04	I
42970	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		Mar04	I
42970	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42971	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
42971	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42971	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42971	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42971	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42971	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
42971	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		Mar04	I
42971	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		Mar04	I
42971	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
42972	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	I
42972	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Mar04	I
42972	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090		Mar04	I
42972	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		1	090		Mar04	I
42972	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425		1	090		Mar04	I
42972	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Mar04	I
42972	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		Mar04	I
42972	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		Mar04	I
42972	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Mar04	I
43020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	I
43020	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
43030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	I
43030	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	I
43045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43045	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43100	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43101	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43101	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43107	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
43107	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43108	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43108	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
43112	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43113	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43113	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43116	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43116	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43117	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
43117	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43118	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43118	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43121	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
43121	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43122	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
43122	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43123	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43123	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43124	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
43124	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43130	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43135	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090	43130	May 2014	May 12
43197	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43197	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43197	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 10
43197	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 10
43197	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT14	May 10
43197	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43197	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43197	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	2		000		CPT14	May 10
43197	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	5		000		CPT14	May 10
43197	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT14	May 10
43197	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43197	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	10		000		CPT14	May 10
43197	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		CPT14	May 10
43197	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000		CPT14	May 10
43197	RUC	Lab	SL464	Atomizer tips (disposable)	item		1		000		CPT14	May 10
43197	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43197	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000		CPT14	May 10
43198	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43198	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43198	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT14	May 10
43198	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT14	May 10
43198	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		000		CPT14	May 10
43198	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43198	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43198	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	2		000		CPT14	May 10
43198	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	5		000		CPT14	May 10
43198	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT14	May 10
43198	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43198	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	10		000		CPT14	May 10
43198	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		CPT14	May 10
43198	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000		CPT14	May 10
43198	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT14	May 10
43198	RUC	Lab	SL464	Atomizer tips (disposable)	item		1		000		CPT14	May 10
43198	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43198	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	4		000		CPT14	May 10
43200	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43200	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43200	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43200	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43200	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43200	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43200	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43200	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43200	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43200	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43200	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43200	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43200	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43200	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43200	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43200	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43200	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43200	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43200	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43200	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43200	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43200	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43201	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43201	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43201	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43201	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43201	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43201	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43201	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43201	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43201	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43201	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000		CPT14	May 10
43201	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43201	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43201	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43201	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43201	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43201	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43201	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43201	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43201	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43201	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43201	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	2		000		CPT14	May 10
43201	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
43201	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43201	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43202	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43202	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43202	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43202	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43202	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43202	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43202	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43202	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43202	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43202	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43202	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43202	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000		CPT14	May 10
43202	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43202	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43202	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43202	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43202	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43202	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43202	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43202	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43202	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43202	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43202	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43202	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43206	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43206	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43206	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43206	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43206	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43206	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43206	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43206	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43206	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43206	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43206	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43206	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43206	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43206	RUC	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1		000		CPT14	May 10
43206	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43206	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43206	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43206	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43206	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43206	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43206	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43206	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43206	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43213	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43213	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43213	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43213	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43213	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43213	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43213	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43213	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43213	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43213	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43213	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2		000		CPT14	May 10
43213	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	3		000		CPT14	May 10
43213	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43213	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT14	May 10
43213	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43213	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43213	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43213	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43213	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43213	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43213	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43213	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43213	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43213	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43213	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43215	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43215	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43215	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43215	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43215	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43215	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43215	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43215	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43215	RUC	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	19.7	1		000		CPT14	May 10
43215	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43215	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43215	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43215	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43215	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43215	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43215	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43215	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43215	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43216	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43216	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43216	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43216	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43216	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43216	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43216	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43216	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43216	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43216	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43216	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43216	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000		CPT14	May 10
43216	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43216	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43216	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43216	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		000		CPT14	May 10
43216	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 10
43216	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43216	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43216	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43216	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43216	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43216	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43216	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43216	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43216	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43217	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43217	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43217	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43217	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43217	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43217	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43217	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43217	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43217	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43217	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43217	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43217	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43217	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000		CPT14	May 10
43217	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43217	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43217	RUC	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	19.7	1		000		CPT14	May 10
43217	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		000		CPT14	May 10
43217	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 10
43217	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43217	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43217	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43217	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43217	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43217	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43217	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43217	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43217	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43220	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43220	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43220	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43220	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43220	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43220	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43220	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43220	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43220	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43220	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43220	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000			
43220	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43220	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43220	CMS	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	190	3		000			
43220	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43220	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43220	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43220	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43220	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43220	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43220	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
43220	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43220	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43226	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43226	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT14	May 10
43226	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43226	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43226	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43226	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43226	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43226	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43226	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43226	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43226	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43226	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43226	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT14	May 10
43226	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43226	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43226	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43226	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43226	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43226	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43226	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43226	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43226	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
43226	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43226	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43227	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43227	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43227	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43227	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43227	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43227	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43227	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43227	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43227	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43227	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43227	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43227	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43227	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43227	RUC	"Accessory, Procedure"	SD282	endoscopic clip	item	48.46	1		000		CPT14	May 10
43227	RUC	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	170	1		000		CPT14	May 10
43227	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		000		CPT14	May 10
43227	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 10
43227	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43227	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43227	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43227	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43227	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43227	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43227	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43227	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43227	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43229	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43229	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43229	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43229	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43229	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43229	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43229	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43229	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43229	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43229	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43229	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2		000		CPT14	May 10
43229	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	1		000		CPT14	May 10
43229	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43229	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT14	May 10
43229	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43229	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43229	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43229	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43229	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43229	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43229	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43229	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43229	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43229	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43229	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43231	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43231	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43231	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43231	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43231	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43231	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43231	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43231	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43231	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43231	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43231	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43231	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43231	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43231	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43231	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43231	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43231	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43231	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43231	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43231	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43231	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
43231	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43231	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43232	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 10
43232	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 10
43232	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 10
43232	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 10
43232	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 10
43232	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 10
43232	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 10
43232	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 10
43232	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 10
43232	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 10
43232	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 10
43232	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 10
43232	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 10
43232	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 10
43232	RUC	"Accessory, Procedure"	SD283	"needle, endoscopic ultrasound, cytology"	item		1		000		CPT14	May 10
43232	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 10
43232	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 10
43232	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 10
43232	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 10
43232	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 10
43232	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 10
43232	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 10
43232	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 10
43232	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 10
43235	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43235	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43235	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43235	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43235	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43235	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43235	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43235	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43235	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43235	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43235	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43235	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43235	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43235	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43235	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43235	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43235	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43235	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43235	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43235	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43235	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43235	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43235	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43236	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43236	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43236	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43236	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43236	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43236	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43236	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43236	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43236	RUC	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	36	1		000		CPT14	May 11
43236	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43236	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000		CPT14	May 11
43236	RUC	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	12	1		000		CPT14	May 11
43236	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43236	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43236	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43236	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43236	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43236	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43236	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43236	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43236	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43236	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43236	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	2		000		CPT14	May 11
43236	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43236	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43236	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43239	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43239	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43239	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43239	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43239	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43239	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43239	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43239	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43239	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43239	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43239	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43239	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000		CPT14	May 11
43239	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43239	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43239	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43239	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43239	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43239	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43239	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43239	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43239	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43239	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43239	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43239	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43245	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43245	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43245	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43245	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43245	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43245	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43245	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43245	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43245	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43245	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43245	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43245	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	1		000		CPT14	May 11
43245	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43245	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43245	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43245	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43245	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43245	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43245	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43245	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43245	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43245	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43245	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43245	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43247	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43247	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43247	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43247	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43247	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43247	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43247	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43247	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43247	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43247	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43247	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43247	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43247	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		000		CPT14	May 11
43247	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43247	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43247	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43247	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43247	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43247	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43247	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43247	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43247	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43247	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43247	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43248	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43248	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT14	May 11
43248	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43248	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43248	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43248	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43248	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43248	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43248	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43248	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43248	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43248	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43248	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43248	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT14	May 11
43248	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43248	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43248	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43248	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43248	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43248	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43248	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43248	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43248	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43248	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43248	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43249	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43249	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43249	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43249	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43249	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43249	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43249	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43249	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43249	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43249	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43249	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43249	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	3		000		CPT14	May 11
43249	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43249	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000			
43249	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43249	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43249	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43249	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43249	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43249	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43249	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43249	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43249	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43249	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43249	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43250	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43250	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43250	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43250	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43250	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43250	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43250	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43250	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43250	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43250	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43250	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000		CPT14	May 11
43250	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43250	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43250	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43250	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		000		CPT14	May 11
43250	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 11
43250	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43250	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43250	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43250	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43250	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43250	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43250	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43250	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43250	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43251	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43251	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43251	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43251	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43251	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43251	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43251	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43251	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43251	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43251	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43251	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43251	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000		CPT14	May 11
43251	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43251	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000		CPT14	May 11
43251	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43251	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43251	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 11
43251	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43251	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43251	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43251	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43251	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43251	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43251	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43251	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43251	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43252	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43252	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43252	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43252	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43252	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43252	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43252	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43252	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43252	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43252	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43252	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43252	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43252	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43252	RUC	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1		000		CPT14	May 11
43252	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43252	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43252	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43252	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43252	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43252	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43252	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43252	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43252	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43255	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43255	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43255	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43255	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43255	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43255	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43255	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43255	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43255	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43255	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43255	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43255	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43255	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43255	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43255	RUC	"Accessory, Procedure"	SD282	endoscopic clip	item	48.46	1		000		CPT14	May 11
43255	RUC	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	170	1		000		CPT14	May 11
43255	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		000		CPT14	May 11
43255	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		CPT14	May 11
43255	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43255	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43255	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43255	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43255	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43255	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43255	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43255	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43255	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43270	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	May 11
43270	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 11
43270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 11
43270	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	May 11
43270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 11
43270	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	May 11
43270	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	May 11
43270	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	May 11
43270	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT14	May 11
43270	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 11
43270	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	May 11
43270	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	1		000		CPT14	May 11
43270	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		CPT14	May 11
43270	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000			
43270	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	May 11
43270	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	May 11
43270	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 11
43270	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT14	May 11
43270	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 11
43270	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	May 11
43270	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 11
43270	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	1		000		CPT14	May 11
43270	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		CPT14	May 11
43270	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000		CPT14	May 11
43270	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	May 11
43279	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT09	13
43279	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT09	13
43280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43280	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	43324		
43281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	9
43281	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	9
43282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT10	9
43282	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	9
43300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43300	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43305	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43310	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43312	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
43312	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43313	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
43313	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43314	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
43314	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43320	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43325	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43325	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43327	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	7
43327	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43328	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	7
43328	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43330	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43331	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43331	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43332	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	7
43332	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43333	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	7
43333	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43334	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	7
43334	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43335	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	7
43335	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43336	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT11	7
43336	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43337	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT11	7
43337	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	7
43340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43340	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43341	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43341	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43351	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43351	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43352	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43352	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43360	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43360	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43361	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43361	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43400	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43401	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43401	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43405	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43410	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43415	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43420	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43425	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
43450	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	Nov 7
43450	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	Nov 7
43450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	Nov 7
43450	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	Nov 7
43450	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	Nov 7
43450	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	Nov 7
43450	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	Nov 7
43450	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	Nov 7
43450	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	Nov 7
43450	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	Nov 7
43450	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	Nov 7
43450	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	Nov 7
43450	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000		CPT14	Nov 7
43450	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	Nov 7
43450	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	Nov 7
43450	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	Nov 7
43450	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	Nov 7
43453	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT14	Nov 7
43453	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	Nov 7
43453	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	Nov 7
43453	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		CPT14	Nov 7
43453	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	Nov 7
43453	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT14	Nov 7
43453	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT14	Nov 7
43453	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT14	Nov 7
43453	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	Nov 7
43453	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT14	Nov 7
43453	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT14	Nov 7
43453	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT14	Nov 7
43453	RUC	"Accessory, Procedure"	SD286	endoscopic guidewire	item	164.05	1		000		CPT14	Nov 7
43453	RUC	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	190	2		000		CPT14	Nov 7
43453	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000		CPT14	Nov 7
43453	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	Nov 7
43453	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT14	Nov 7
43453	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	Nov 7
43453	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000		CPT14	Nov 7
43500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43501	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43502	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43502	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43510	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
43520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43605	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43610	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43611	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43611	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43620	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43621	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43621	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43622	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43622	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43631	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43631	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43632	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43632	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43633	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43633	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43634	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43634	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43640	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43640	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43641	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43641	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43644	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
43644	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43645	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
43645	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
43651	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
43651	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
43652	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
43652	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
43653	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	43830		
43653	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	43830		
43653	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		2	090	43830		
43653	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82		1	090	43830		
43653	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		1	090	43830		
43754	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	8
43754	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	8
43754	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		CPT11	8
43754	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	8
43754	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	8
43754	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT11	8
43754	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	8
43754	RUC	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	1.2485	1		000		CPT11	8
43754	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	8
43754	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		CPT11	8
43754	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	8
43754	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	5		000		CPT11	8
43754	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12		000		CPT11	8
43754	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	10		000		CPT11	8
43754	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	8
43754	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT11	8
43754	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT11	8
43754	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		CPT11	8
43754	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		000		CPT11	8
43754	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	8
43754	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT11	8
43754	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.035	1		000		CPT11	8
43755	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	8
43755	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	8
43755	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	8
43755	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		CPT11	8
43755	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	8
43755	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	8
43755	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		CPT11	8
43755	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000		CPT11	8
43755	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT11	8
43755	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	8
43755	RUC	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	1.2485	1		000		CPT11	8
43755	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	8
43755	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		CPT11	8
43755	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	8
43755	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12		000		CPT11	8
43755	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	10		000		CPT11	8
43755	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	8
43755	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT11	8
43755	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT11	8
43755	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		CPT11	8
43755	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		000		CPT11	8
43755	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	8
43755	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	12		000		CPT11	8
43755	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.035	4		000		CPT11	8
43756	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	8
43756	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	8
43756	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		CPT11	8
43756	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	8
43756	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	8
43756	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT11	8
43756	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	8
43756	RUC	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	1.2485	1		000		CPT11	8
43756	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	8
43756	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		CPT11	8
43756	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	8
43756	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12		000		CPT11	8
43756	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	10		000		CPT11	8
43756	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	8
43756	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT11	8
43756	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT11	8
43756	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		CPT11	8
43756	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		000		CPT11	8
43756	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	8
43756	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT11	8
43756	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.035	1		000		CPT11	8
43757	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	8
43757	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	8
43757	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	8
43757	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		CPT11	8
43757	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	8
43757	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		CPT11	8
43757	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000		CPT11	8
43757	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT11	8
43757	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT11	8
43757	RUC	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	1.2485	1		000		CPT11	8
43757	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	8
43757	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.54	1		000		CPT11	8
43757	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	8
43757	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12		000		CPT11	8
43757	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	10		000		CPT11	8
43757	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	8
43757	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT11	8
43757	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT11	8
43757	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		CPT11	8
43757	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		000		CPT11	8
43757	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	8
43757	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	9		000		CPT11	8
43757	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.035	3		000		CPT11	8
43760	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		CPT08	rv
43760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	rv
43760	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000	Feb05	CPT08	rv
43760	RUC	"Kit, Pack, Tray"	SA095	"kit, gastrostomy, low profile device (Mic-Key)"	item	210	1		000		CPT08	rv
43760	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT08	rv
43760	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		CPT08	rv
43760	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT08	rv
43760	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	15350	CPT08	rv
43760	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000	15350	CPT08	rv
43760	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT08	rv
43760	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT08	rv
43760	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT08	rv
43760	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT08	rv
43760	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT08	rv
43760	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT08	rv
43760	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT08	rv
43760	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		CPT08	rv
43760	RUC	"Accessory, Procedure"	SD229	"gastrostomy, stoma measuring device (Mic-Key)"	item	10	1		000		CPT08	rv
43760	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT08	rv
43760	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT08	rv
43760	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT08	rv
43760	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT08	rv
43760	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT08	rv
43760	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT08	rv
43760	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT08	rv
43761	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		000		Feb05	
43770	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
43770	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43770	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328		2	090		RUC05	
43770	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		2	090		RUC05	
43770	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	88170	RUC05	
43770	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		2	090		RUC05	
43770	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	88170	RUC05	
43771	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
43771	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43771	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328		2	090		RUC05	
43771	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		2	090		RUC05	
43771	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	88170	RUC05	
43771	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		2	090		RUC05	
43771	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	88170	RUC05	
43772	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
43772	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43773	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
43773	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43773	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328		2	090		RUC05	
43773	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		2	090		RUC05	
43773	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	88170	RUC05	
43773	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		2	090		RUC05	
43773	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	88170	RUC05	
43774	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
43774	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43800	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43810	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43820	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43825	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43830	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43830	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		2	090			
43830	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82		1	090			
43830	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		1	090			
43831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43831	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43831	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		2	090			
43831	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82		1	090			
43831	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		1	090			
43832	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43832	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43832	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		2	090			
43832	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82		1	090			
43832	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62		1	090			
43840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43840	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43842	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43842	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43843	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43843	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
43845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	88170	RUC05	
43845	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43846	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43846	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43847	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43847	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43848	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
43848	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43850	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43850	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43855	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43855	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43860	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43865	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
43870	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
43880	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
43886	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
43886	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43886	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328		2	090		RUC05	
43886	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		2	090		RUC05	
43886	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	88170	RUC05	
43886	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		2	090		RUC05	
43886	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	88170	RUC05	
43887	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
43887	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43888	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
43888	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
43888	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328		2	090		RUC05	
43888	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		2	090		RUC05	
43888	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043		2	090	88170	RUC05	
43888	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427		2	090		RUC05	
43888	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		4	090	88170	RUC05	
44005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44005	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44010	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44020	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44021	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44021	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44025	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44025	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44050	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44055	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44055	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44110	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44111	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
44120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44125	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
44125	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44126	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44126	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44127	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44127	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
44130	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44140	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44141	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44141	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44141	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090			
44141	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090			
44143	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44143	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44143	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090			
44143	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
44144	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44144	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44144	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1	090			
44144	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		1	090			
44145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44145	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44146	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44146	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44146	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090			
44146	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090			
44147	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44147	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44150	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44150	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090			
44150	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090			
44151	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44151	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44151	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090			
44151	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090			
44155	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44155	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44155	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090			
44155	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090			
44156	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44156	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44156	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6	090			
44156	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6	090			
44157	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
44157	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
44157	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090		CPT07	
44157	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090		CPT07	
44158	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
44158	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT07	
44158	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090		CPT07	
44158	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090		CPT07	
44160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44160	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	44200	RUC05	
44180	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	44200	RUC05	
44186	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	44200	RUC05	
44186	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		RUC05	
44186	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090	44200	RUC05	
44186	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090	44200	RUC05	
44187	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
44187	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
44187	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090		RUC05	
44187	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090		RUC05	
44188	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
44188	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
44188	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090		RUC05	
44188	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090		RUC05	
44202	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44202	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44204	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44204	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44205	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44205	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44206	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44206	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44206	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
44207	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44207	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44208	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44208	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44208	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1.5	090			
44208	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
44210	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44210	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44210	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1	090			
44210	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090			
44211	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44211	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44211	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090			
44211	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090			
44212	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44212	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
44212	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090			
44212	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090			
44227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
44227	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
44300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44300	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44310	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44312	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44312	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44314	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44314	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44316	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44316	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44320	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44322	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
44322	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44322	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6	090			
44322	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6	090			
44340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44340	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44345	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44345	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44346	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44346	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44385	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	U
44385	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar04	U
44385	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	U
44385	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		Mar04	U
44385	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar04	U
44385	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar04	U
44385	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		Mar04	U
44385	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		Mar04	U
44385	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar04	U
44385	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Mar04	U
44385	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000		Mar04	U
44385	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Mar04	U
44385	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Mar04	U
44385	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Mar04	U
44385	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar04	U
44385	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		Mar04	U
44385	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000		Mar04	U
44385	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		Mar04	U
44386	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	U
44386	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Mar04	U
44386	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	U
44386	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		Mar04	U
44386	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar04	U
44386	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar04	U
44386	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		Mar04	U
44386	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		Mar04	U
44386	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar04	U
44386	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Mar04	U
44386	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000		Mar04	U
44386	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Mar04	U
44386	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Mar04	U
44386	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Mar04	U
44386	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar04	U
44386	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		Mar04	U
44386	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000		Mar04	U
44386	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		Mar04	U
44388	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
44388	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
44388	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
44388	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
44388	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
44388	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
44388	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
44388	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
44388	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
44388	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
44388	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
44388	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
44388	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
44388	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
44388	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
44388	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
44388	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
44388	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
44388	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
44388	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
44388	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
44388	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
44388	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
44388	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
44388	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
44388	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
44388	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
44389	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
44389	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
44389	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
44389	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
44389	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
44389	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
44389	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
44389	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
44389	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
44389	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
44389	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
44389	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
44389	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
44389	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
44389	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
44389	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
44389	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
44389	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
44389	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
44389	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
44389	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
44389	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
44389	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
44389	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
44389	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
44389	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
44389	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
44389	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
44390	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
44390	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
44390	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
44390	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
44390	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
44390	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
44390	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
44390	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
44390	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
44390	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
44390	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
44390	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
44390	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
44390	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
44390	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
44390	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
44390	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
44390	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
44390	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
44390	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
44390	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
44390	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
44390	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
44390	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
44390	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
44390	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
44390	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
44390	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
44391	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
44391	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
44391	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
44391	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
44391	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
44391	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
44391	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
44391	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
44391	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
44391	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
44391	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
44391	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
44391	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
44391	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
44391	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
44391	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
44391	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
44391	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
44391	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
44391	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
44391	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
44391	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
44391	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
44391	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
44391	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
44391	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
44391	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
44391	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
44392	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
44392	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
44392	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
44392	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
44392	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
44392	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
44392	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
44392	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
44392	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
44392	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
44392	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
44392	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
44392	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
44392	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
44392	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
44392	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
44392	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
44392	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
44392	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
44392	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
44392	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
44392	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
44392	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
44392	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
44392	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
44392	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
44392	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
44392	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
44394	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
44394	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
44394	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
44394	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
44394	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
44394	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
44394	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
44394	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
44394	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
44394	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
44394	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
44394	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
44394	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
44394	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
44394	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
44394	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
44394	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
44394	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
44394	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
44394	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
44394	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
44394	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
44394	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
44394	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
44394	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
44394	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
44394	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
44394	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
44602	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44602	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44603	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44603	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44604	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44604	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44605	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44605	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090			
44605	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090			
44615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44615	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44620	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44625	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44625	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44626	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44626	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44640	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44640	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44650	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44660	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44661	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44661	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44680	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44680	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44700	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
44800	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44820	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44850	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44850	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44900	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44950	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44950	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44960	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
44960	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
44970	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
44970	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
45000	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45005	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	010		Mar04	D
45005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	0.5	010		Mar04	D
45005	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
45005	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	D
45005	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
45005	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
45005	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar04	D
45005	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	D
45005	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar04	D
45005	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	010		Mar04	D
45005	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar04	D
45005	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Mar04	D
45005	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar04	D
45005	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		010		Mar04	D
45005	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	D
45005	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	D
45005	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	D
45005	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		010		Mar04	D
45005	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	D
45005	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Mar04	D
45005	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar04	D
45005	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	D
45005	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010		Mar04	D
45005	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar04	D
45005	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010		Mar04	D
45005	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	D
45020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45020	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
45100	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45108	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
45108	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
45110	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45110	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090			
45110	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
45111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
45111	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45112	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45113	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45113	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45113	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090			
45113	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
45114	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45114	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45116	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45116	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45119	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45119	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45119	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090			
45119	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
45120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
45120	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45121	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
45121	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45123	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45123	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45126	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
45126	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45126	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090			
45126	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
45130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45130	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
45135	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45136	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
45136	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45136	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090			
45136	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090			
45150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45150	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
45160	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
45171	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		CPT10	31
45171	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	31
45171	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		CPT10	31
45171	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		CPT10	31
45171	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338		2	090		CPT10	31
45171	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		1	090		CPT10	31
45171	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		1	090		CPT10	31
45171	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		CPT10	31
45171	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		CPT10	31
45171	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		CPT10	31
45171	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		3	090		CPT10	31
45171	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013		8	090		CPT10	31
45171	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		6	090		CPT10	31
45171	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		2	090		CPT10	31
45172	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		CPT10	31
45172	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	31
45172	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		CPT10	31
45172	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		CPT10	31
45172	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338		2	090		CPT10	31
45172	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		1	090		CPT10	31
45172	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881		1	090		CPT10	31
45172	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		CPT10	31
45172	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		CPT10	31
45172	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		CPT10	31
45172	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		3	090		CPT10	31
45172	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013		8	090		CPT10	31
45172	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		6	090		CPT10	31
45172	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		2	090		CPT10	31
45190	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45190	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45190	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45190	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45190	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45300	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45300	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45300	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45300	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45300	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45300	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45300	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45300	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45300	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45300	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45300	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45300	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45300	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45300	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45300	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45300	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45300	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45303	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45303	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45303	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45303	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45303	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45303	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45303	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45303	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45303	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45303	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	3		000			
45303	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45303	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45303	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45303	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45303	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45303	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45303	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45303	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45303	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45303	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45303	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45303	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45303	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45305	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45305	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45305	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45305	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45305	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45305	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45305	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45305	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45305	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45305	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45305	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45305	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45305	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45305	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45305	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45305	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45305	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45305	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45305	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45305	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45305	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45305	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45307	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45307	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45307	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45307	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45307	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45307	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45307	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45307	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45307	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45307	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45307	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45307	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45307	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45307	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45307	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45307	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45307	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45307	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45307	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45307	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45307	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45307	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45308	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45308	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45308	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45308	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45308	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45308	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45308	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45308	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45308	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45308	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45308	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45308	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45308	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45308	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45308	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45308	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45308	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45308	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45308	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45308	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45308	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45308	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45308	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45309	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45309	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45309	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45309	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45309	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45309	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45309	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45309	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45309	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45309	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45309	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45309	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45309	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45309	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45309	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45309	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45309	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45309	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45309	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45309	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45309	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45309	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45309	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45315	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45315	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45315	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45315	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45315	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45315	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45315	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45315	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45315	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45315	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45315	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45315	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45315	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45315	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45315	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45315	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45315	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45315	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45315	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45315	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45315	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45315	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45315	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45317	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45317	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45317	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45317	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45317	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45317	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45317	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45317	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45317	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45317	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45317	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45317	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45317	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45317	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45317	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45317	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45317	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45317	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45317	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45317	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45317	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45317	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45317	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45320	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45320	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45320	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
45320	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45320	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45320	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45320	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45320	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45320	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45320	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45320	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
45320	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45320	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45320	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45320	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45320	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45320	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
45320	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45320	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
45320	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45320	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
45320	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45330	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000			
45330	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000			
45330	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5		000			
45330	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
45330	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
45330	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
45330	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
45330	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
45330	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45330	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45330	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45330	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45330	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
45330	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	30		000			
45330	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45330	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45330	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45330	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45330	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45330	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45330	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45330	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45331	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45331	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45331	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45331	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45331	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45331	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45331	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45331	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45331	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45331	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45331	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45331	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45331	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45331	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45331	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45331	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45331	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45331	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45331	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45332	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45332	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45332	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45332	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		000			
45332	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45332	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45332	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45332	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45332	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45332	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45332	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45332	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
45332	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45332	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45332	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45332	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45332	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45332	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45332	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45332	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45332	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45332	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45332	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45332	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45333	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45333	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45333	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45333	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		000			
45333	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45333	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45333	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45333	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45333	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45333	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45333	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45333	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
45333	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45333	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45333	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
45333	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45333	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45333	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45333	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45333	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45333	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45333	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45333	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45333	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45333	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45335	RUC	"Kit, Pack, Tray"	SA021	"kit, needle-free injection system"	kit	9.492	1		000			
45335	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	MS
45335	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45335	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45335	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
45335	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45335	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45335	RUC	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	36	1		000			
45335	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000			
45335	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000			
45335	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45335	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		000			
45335	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45335	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
45335	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45335	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		000			
45335	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45335	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000			
45338	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45338	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45338	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45338	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		000			
45338	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45338	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45338	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45338	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45338	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45338	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45338	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45338	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
45338	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45338	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45338	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
45338	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45338	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
45338	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45338	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45338	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45338	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45338	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45338	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45338	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45338	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45340	RUC	"Kit, Pack, Tray"	SA021	"kit, needle-free injection system"	kit	9.492	1		000			
45340	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	MS
45340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45340	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45340	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
45340	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45340	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45340	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000			
45340	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000			
45340	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45340	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	1		000			
45340	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		000			
45340	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45340	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
45340	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45340	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		000			
45340	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45340	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000			
45378	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45378	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45378	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45378	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45378	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45378	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45378	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45378	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45378	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45378	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45378	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45378	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45378	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45378	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000			
45378	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45378	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45378	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
45378	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45378	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45378	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45378	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45378	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45378	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45379	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45379	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45379	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45379	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45379	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45379	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45379	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45379	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45379	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45379	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45379	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
45379	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45379	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45379	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
45379	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45379	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000			
45379	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45379	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45379	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
45379	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45379	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45379	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45379	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45379	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45379	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45380	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45380	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45380	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45380	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45380	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45380	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45380	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45380	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45380	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45380	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45380	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45380	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45380	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
45380	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45380	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000			
45380	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45380	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45380	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
45380	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45380	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45380	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45380	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45380	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45380	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45381	RUC	"Kit, Pack, Tray"	SA021	"kit, needle-free injection system"	kit	9.492	1		000			
45381	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	MS
45381	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45381	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45381	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
45381	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45381	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45381	RUC	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	36	1		000			
45381	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000			
45381	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000			
45381	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45381	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		000			
45381	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45381	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
45381	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45381	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		000			
45381	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45381	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000			
45382	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45382	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45382	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45382	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45382	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45382	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45382	RUC	"Hypodermic, IV"	SC011	endoscopic sclerotherapy needle	item	21	1		000			
45382	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45382	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45382	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45382	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45382	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
45382	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45382	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45382	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
45382	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45382	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000			
45382	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45382	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45382	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
45382	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45382	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45382	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45382	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45382	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45382	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45384	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45384	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45384	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45384	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45384	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45384	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45384	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45384	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45384	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45384	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45384	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45384	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45384	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
45384	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45384	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000			
45384	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45384	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45384	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
45384	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45384	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45384	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45384	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45384	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45384	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45385	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
45385	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45385	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45385	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
45385	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45385	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45385	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
45385	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
45385	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45385	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
45385	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
45385	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45385	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
45385	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
45385	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000			
45385	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45385	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
45385	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
45385	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
45385	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
45385	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45385	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
45385	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
45385	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
45386	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	MS
45386	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
45386	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
45386	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
45386	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
45386	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
45386	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000			
45386	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		000			
45386	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000			
45386	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
45386	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	1		000			
45386	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		000			
45386	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
45386	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		000			
45386	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
45386	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		000			
45386	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
45386	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	3		000			
45395	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	88170	RUC05	
45395	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
45395	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090		RUC05	
45395	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090		RUC05	
45397	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	88170	RUC05	
45397	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
45397	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090		RUC05	
45397	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090		RUC05	
45400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
45400	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
45402	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
45402	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
45500	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45500	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45500	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45500	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45505	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45505	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45505	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45505	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45505	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45520	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	D
45520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	D
45520	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar04	D
45520	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar04	D
45520	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Mar04	D
45520	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Mar04	D
45520	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		Mar04	D
45520	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar04	D
45520	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar04	D
45520	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000		Mar04	D
45520	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Mar04	D
45520	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6		000		Mar04	D
45520	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Mar04	D
45520	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8		000		Mar04	D
45520	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000		Mar04	D
45520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Mar04	D
45520	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		Mar04	D
45520	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.029	5		000		Mar04	D
45520	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar04	D
45520	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		Mar04	D
45520	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		Mar04	D
45520	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000		Mar04	D
45520	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Mar04	D
45540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
45540	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45540	RUC	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090			
45540	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45540	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45540	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		1	090			
45541	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45541	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45541	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45541	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45541	RUC	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090			
45541	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45541	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45541	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45541	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45550	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45550	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45550	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45550	RUC	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090			
45550	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45550	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45550	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45550	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45560	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45560	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
45560	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45560	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45560	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45560	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45560	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45560	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45562	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45562	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
45562	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45562	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45562	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45562	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45562	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45562	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45563	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45563	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
45563	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45563	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45563	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45563	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45563	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45563	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
45563	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45800	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45800	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45800	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45800	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45800	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45805	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45805	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45805	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45805	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45805	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45805	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45805	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45805	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
45805	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45820	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
45820	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45820	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45820	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45820	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45825	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
45825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
45825	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
45825	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
45825	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
45825	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
45825	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
45825	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090			
45825	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
45900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
45900	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
45905	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
45905	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
45910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
45910	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
45915	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	010		Mar04	D
45915	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	D
45915	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
45915	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	D
45915	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
45915	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
45915	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar04	D
45915	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	D
45915	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar04	D
45915	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	010		Mar04	D
45915	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar04	D
45915	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		010		Mar04	D
45915	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Mar04	D
45915	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar04	D
45915	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	D
45915	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Mar04	D
45915	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Mar04	D
45915	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	D
45915	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010		Mar04	D
45915	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar04	D
45915	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010		Mar04	D
45915	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	D
46020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010			
46020	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
46020	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1	1	010			
46020	RUC	"Cutters, Closures, Cautery"	SF031	"loop, surgical (Surg-I-Loop)"	item	1.275	1		010			
46020	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		010			
46020	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1	1	010			
46030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	0.5	010			
46030	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46030	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46030	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46030	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46030	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46030	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46030	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46030	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46030	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46030	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46030	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46030	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46040	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar04	D
46040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar04	D
46040	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar04	D
46040	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar04	D
46040	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar04	D
46040	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar04	D
46040	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar04	D
46040	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar04	D
46040	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar04	D
46040	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar04	D
46040	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar04	D
46040	RUC	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	13.95	1		090		Mar04	D
46040	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar04	D
46040	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar04	D
46040	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar04	D
46040	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar04	D
46040	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar04	D
46040	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar04	D
46040	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	D
46040	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar04	D
46040	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar04	D
46040	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar04	D
46040	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar04	D
46040	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar04	D
46040	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar04	D
46045	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
46045	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46045	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46045	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46045	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46050	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46050	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46050	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46050	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46050	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46050	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46050	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46050	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46050	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46050	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46050	RUC	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	13.95	1		010			
46050	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46050	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46050	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46050	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46050	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		010			
46050	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46050	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46050	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46050	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46050	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46050	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46050	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46050	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46050	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46050	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46050	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46060	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46060	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46060	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46060	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46060	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46070	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46070	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
46070	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46070	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46070	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46070	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46080	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	0.5	010			
46080	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46080	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46080	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46080	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46080	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46080	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46080	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46080	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46080	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46080	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46080	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46080	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46080	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46080	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46080	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
46080	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010			
46080	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46080	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46080	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46080	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46080	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46080	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46080	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46080	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46080	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46080	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46080	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46083	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46083	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46083	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46083	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46083	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46083	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46083	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46083	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46083	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46083	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46083	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46083	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46083	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46083	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
46083	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
46083	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46083	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46083	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46083	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46083	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46083	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46083	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46083	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46083	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46083	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46083	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46200	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		Mar03	7
46200	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4.5	3.5	090		Mar03	7
46200	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46200	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46200	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46200	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46200	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46200	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		Mar03	7
46200	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	7
46200	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46200	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46200	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46200	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46200	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46200	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46200	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46200	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	7
46200	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	7
46200	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	7
46200	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46200	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46200	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46200	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar03	7
46200	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46200	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46220	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46220	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46220	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46220	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46220	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46220	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46220	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46220	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46220	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46220	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46220	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46220	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		010			
46220	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46220	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46220	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
46220	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46220	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46220	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46220	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46220	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46220	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46220	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46220	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46220	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46220	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46220	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46221	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	010		Mar03	7
46221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar03	7
46221	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	7
46221	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	7
46221	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	7
46221	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	7
46221	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar03	7
46221	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar03	7
46221	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	010		Mar03	7
46221	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar03	7
46221	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010		Mar03	7
46221	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar03	7
46221	RUC	"Cutters, Closures, Cautery"	SF032	"rubber bands, sterile for ligation"	item	0.145	1		010		Mar03	7
46221	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Mar03	7
46221	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar03	7
46221	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	010		Mar03	7
46221	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	010		Mar03	7
46221	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar03	7
46230	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		010			
46230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46230	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46230	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46230	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46230	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46230	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46230	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46230	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46230	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46230	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46230	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46230	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46230	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46230	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46230	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46230	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
46230	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
46230	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46230	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46230	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46230	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46230	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46230	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46230	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
46230	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46230	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46230	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46230	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46230	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46250	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	7
46250	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46250	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46250	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46250	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46250	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46250	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar03	7
46250	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46250	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46250	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46250	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46250	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46250	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46250	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46250	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	7
46250	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Mar03	7
46250	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Mar03	7
46250	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Mar03	7
46250	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46250	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46250	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46250	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46250	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46250	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
46255	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46255	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	7
46255	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46255	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46255	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46255	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46255	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46255	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar03	7
46255	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46255	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46255	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46255	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46255	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46255	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46255	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46255	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	7
46255	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Mar03	7
46255	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		090		Mar03	7
46255	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Mar03	7
46255	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46255	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46255	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46255	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46255	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46255	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
46257	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46257	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
46257	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46257	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46257	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46257	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46258	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46258	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46258	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46260	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
46260	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46260	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46260	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46260	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46261	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46261	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46261	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46262	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46262	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46262	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46262	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46262	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46262	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46270	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		Mar03	7
46270	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	7
46270	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46270	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46270	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46270	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46270	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46270	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		Mar03	7
46270	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	7
46270	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46270	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46270	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46270	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46270	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46270	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46270	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46270	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	7
46270	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	7
46270	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	7
46270	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46270	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46270	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46270	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar03	7
46270	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46270	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46275	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		Mar03	7
46275	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	7
46275	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46275	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46275	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46275	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46275	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46275	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		Mar03	7
46275	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	7
46275	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46275	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46275	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46275	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46275	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46275	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46275	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46275	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	7
46275	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	7
46275	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	7
46275	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46275	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46275	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46275	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar03	7
46275	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46275	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46280	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46280	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46280	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46280	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46280	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46285	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	090		Mar03	7
46285	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Mar03	7
46285	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46285	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46285	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46285	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46285	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46285	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		Mar03	7
46285	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		090		Mar03	7
46285	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46285	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46285	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46285	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46285	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46285	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46285	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46285	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	7
46285	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		090		Mar03	7
46285	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	7
46285	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46285	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46285	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46285	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Mar03	7
46285	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46285	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46288	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46288	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46288	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46288	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46288	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	1	010			
46320	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46320	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46320	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46320	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46320	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46320	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46320	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46320	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46320	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46320	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46320	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46320	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46320	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
46320	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010			
46320	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46320	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46320	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46320	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46320	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46320	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46320	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46320	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46320	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46320	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46320	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46500	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		010		Mar04	D
46500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	D
46500	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
46500	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	D
46500	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
46500	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
46500	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		010		Mar04	D
46500	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010		Mar04	D
46500	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar04	D
46500	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010		Mar04	D
46500	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar04	D
46500	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6		010		Mar04	D
46500	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar04	D
46500	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8		010		Mar04	D
46500	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Mar04	D
46500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	D
46500	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Mar04	D
46500	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.029	3		010		Mar04	D
46500	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	D
46500	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010		Mar04	D
46500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar04	D
46500	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010		Mar04	D
46500	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	D
46505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		RUC05	
46505	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	4	2	010		RUC05	
46505	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4	2	010		RUC05	
46505	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010		RUC05	
46505	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4	2	010		RUC05	
46505	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4	2	010		RUC05	
46505	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		RUC05	
46505	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		RUC05	
46505	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010		RUC05	
46505	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2	1	010		RUC05	
46505	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	2	1	010		RUC05	
46505	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8	4	010		RUC05	
46505	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		010		RUC05	
46505	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	1		010		RUC05	
46505	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	010		RUC05	
46505	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	010		RUC05	
46505	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	2	1	010		RUC05	
46600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46600	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46600	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46600	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46600	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46600	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46600	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46600	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46600	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46600	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46600	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46600	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46600	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46600	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46600	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46600	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46600	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46600	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46600	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46600	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46600	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46604	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46604	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46604	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46604	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46604	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46604	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46604	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46604	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46604	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46604	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46604	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46604	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	166	2		000			
46604	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46604	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46604	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46604	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46604	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46604	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46604	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46604	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46604	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46604	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46604	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46604	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46606	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46606	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46606	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46606	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46606	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46606	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46606	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46606	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46606	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46606	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46606	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000			
46606	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46606	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46606	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
46606	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
46606	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46606	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46606	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46606	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46606	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46606	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
46606	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46606	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46606	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46606	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46606	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46608	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46608	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46608	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46608	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46608	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46608	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46608	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46608	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46608	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46608	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46608	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46608	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000			
46608	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46608	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46608	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46608	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46608	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46608	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46608	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46608	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
46608	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46608	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46608	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46608	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46608	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46610	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46610	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46610	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46610	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46610	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46610	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46610	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46610	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46610	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46610	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46610	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000			
46610	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46610	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46610	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46610	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46610	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46610	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46610	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
46610	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46610	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46610	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46610	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46610	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46611	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46611	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46611	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46611	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46611	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46611	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46611	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46611	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46611	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46611	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46611	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46611	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
46611	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46611	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46611	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
46611	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
46611	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46611	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46611	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46611	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46611	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46611	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
46611	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46611	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46611	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46611	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46611	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46612	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46612	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46612	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46612	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46612	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46612	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46612	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46612	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46612	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46612	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46612	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46612	RUC	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	50.6	1		000			
46612	RUC	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	19.7	1		000			
46612	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46612	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46612	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46612	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46612	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46612	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46612	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46612	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
46612	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46612	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46612	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46612	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46612	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46614	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46614	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46614	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46614	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46614	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46614	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46614	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46614	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46614	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46614	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46614	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46614	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46614	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46614	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46614	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46614	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46614	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46614	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46614	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46614	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46614	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46614	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46614	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
46615	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
46615	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
46615	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
46615	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
46615	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
46615	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
46615	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
46615	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
46615	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		000			
46615	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
46615	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
46615	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
46615	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
46615	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000			
46615	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
46615	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
46615	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		000			
46615	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
46615	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
46615	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
46615	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
46615	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
46615	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
46700	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46700	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46700	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46700	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46700	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46705	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
46705	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46705	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46705	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46705	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46706	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
46707	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		CPT10	12
46707	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	12
46707	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	12
46707	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		CPT10	12
46707	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		CPT10	12
46707	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		CPT10	12
46710	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		RUC05	
46710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
46710	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
46710	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		RUC05	
46710	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		RUC05	
46710	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		RUC05	
46710	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090	11975	RUC05	
46710	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		RUC05	
46710	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	090		RUC05	
46712	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		RUC05	
46712	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	88170	RUC05	
46712	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
46712	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		RUC05	
46712	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		1	090		RUC05	
46712	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		1	090		RUC05	
46712	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090	11975	RUC05	
46712	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090		RUC05	
46712	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090		RUC05	
46712	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		RUC05	
46712	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		1	090		RUC05	
46715	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46715	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46715	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46715	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46715	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46715	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46716	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46716	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
46716	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46716	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46716	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46716	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46730	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46730	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
46730	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46730	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46730	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46730	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46735	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46735	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
46735	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46735	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46735	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46735	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46740	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
46740	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46740	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46740	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46740	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46742	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46742	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
46742	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46742	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46742	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46742	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46744	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46744	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
46744	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46744	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46744	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46744	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46746	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46746	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
46746	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46746	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46746	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46746	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46748	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46748	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		Apr06	J
46748	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46748	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46748	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46748	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46750	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46750	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46750	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46750	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46750	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46751	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46751	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
46751	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46751	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46751	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46751	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46753	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46753	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
46753	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46753	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46753	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46753	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46754	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	010			
46754	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46754	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46754	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46754	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46754	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46754	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46754	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46754	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46754	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46754	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46754	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46754	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46754	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46754	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46754	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46754	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46754	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46754	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46754	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46754	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46754	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46754	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46754	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46760	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
46760	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46760	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46760	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46760	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46761	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46761	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46761	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46761	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46761	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46762	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		1	090		Apr06	J
46762	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
46762	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
46762	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090		Apr06	J
46762	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090		Apr06	J
46762	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090		Apr06	J
46900	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		010		Mar04	D
46900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	D
46900	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
46900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	D
46900	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
46900	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
46900	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar04	D
46900	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	D
46900	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar04	D
46900	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010		Mar04	D
46900	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar04	D
46900	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6		010		Mar04	D
46900	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar04	D
46900	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8		010		Mar04	D
46900	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Mar04	D
46900	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	D
46900	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4		010		Mar04	D
46900	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Mar04	D
46900	RUC	"Pharmacy, Rx"	SH091	trichloroacetic acid 90% (sat soln)	ml	0.855	2		010		Mar04	D
46900	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	D
46900	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010		Mar04	D
46900	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar04	D
46900	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	D
46910	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		010		Mar04	D
46910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	D
46910	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
46910	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar04	D
46910	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
46910	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
46910	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		010		Mar04	D
46910	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Mar04	D
46910	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010		Mar04	D
46910	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010		Mar04	D
46910	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Mar04	D
46910	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	6		010		Mar04	D
46910	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		Mar04	D
46910	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010		Mar04	D
46910	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	D
46910	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	D
46910	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	D
46910	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8		010		Mar04	D
46910	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010		Mar04	D
46910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	D
46910	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010		Mar04	D
46910	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010		Mar04	D
46910	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010		Mar04	D
46910	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		Mar04	D
46910	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010		Mar04	D
46910	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Mar04	D
46916	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
46916	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46916	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46916	RUC	"Gown, Drape"	SB003	"cover, probe (cryosurgery)"	item	0.75	1		010			
46916	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46916	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46916	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46916	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46916	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46916	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46916	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46916	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46916	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46916	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46916	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46916	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
46916	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
46916	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		010			
46916	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010			
46916	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
46916	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46916	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46916	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46916	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46916	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46916	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46916	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
46916	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46916	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46916	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46916	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46916	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46917	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
46917	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46917	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46917	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46917	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46917	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46917	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46917	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46917	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46917	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46917	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46917	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46917	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46917	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46917	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46917	RUC	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	150	1		010			
46917	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
46917	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
46917	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		010			
46917	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010			
46917	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
46917	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46917	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46917	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46917	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46917	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46917	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46917	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
46917	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46917	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46917	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46917	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46917	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46922	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
46922	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46922	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46922	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46922	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46922	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46922	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46922	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46922	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46922	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46922	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46922	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46922	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46922	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46922	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		010			
46922	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46922	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46922	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
46922	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		010			
46922	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		010			
46922	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010			
46922	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
46922	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46922	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46922	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46922	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46922	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46922	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46922	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
46922	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46922	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46922	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46922	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46922	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46924	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
46924	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
46924	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46924	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46924	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46924	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46924	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46924	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46924	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46924	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46924	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46924	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46924	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46924	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46924	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		010			
46924	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46924	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46924	RUC	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	150	1		010			
46924	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
46924	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
46924	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		010			
46924	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		010			
46924	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
46924	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46924	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46924	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46924	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46924	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46924	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46924	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
46924	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46924	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46924	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46924	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46924	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46930	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		CPT09	14
46930	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	090		CPT09	14
46930	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		090		CPT09	14
46930	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		CPT09	14
46930	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		090		CPT09	14
46930	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		090		CPT09	14
46930	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		CPT09	14
46930	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		CPT09	14
46930	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		CPT09	14
46930	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		CPT09	14
46930	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		CPT09	14
46940	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	0.5	010			
46940	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46940	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46940	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46940	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46940	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46940	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46940	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46940	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46940	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46940	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46940	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46940	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46940	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46940	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46940	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46940	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46940	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46940	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46940	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46940	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46940	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46940	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46940	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46940	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46940	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46942	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1.5	0.5	010			
46942	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
46942	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010			
46942	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
46942	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
46942	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
46942	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
46942	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
46942	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		010			
46942	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	1		010			
46942	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
46942	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
46942	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
46942	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
46942	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
46942	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		010			
46942	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
46942	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		010			
46942	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
46942	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		010			
46942	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
46942	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		010			
46942	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		010			
46942	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		010			
46942	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		010			
46942	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		010			
46945	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46945	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Mar03	7
46945	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46945	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46945	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46945	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46945	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46945	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		Mar03	7
46945	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46945	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46945	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46945	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46945	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46945	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46945	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46945	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		090		Mar03	7
46945	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46945	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46945	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46945	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46945	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46945	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
46946	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Mar03	7
46946	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	090		Mar03	7
46946	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	7
46946	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	7
46946	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	7
46946	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	7
46946	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Mar03	7
46946	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		Mar03	7
46946	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923	2	1	090		Mar03	7
46946	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Mar03	7
46946	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Mar03	7
46946	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		090		Mar03	7
46946	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		090		Mar03	7
46946	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Mar03	7
46946	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Mar03	7
46946	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		090		Mar03	7
46946	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		090		Mar03	7
46946	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		090		Mar03	7
46946	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	8	4	090		Mar03	7
46946	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	6	3	090		Mar03	7
46946	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Mar03	7
46946	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Mar03	7
46947	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
46947	RUC	"Accessory, Procedure"	SD003	anoscope	item	0.923		1	090			
46947	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090			
46947	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117		3	090			
47000	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	Feb 11
47000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	Feb 11
47000	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		000		CPT12	Feb 11
47000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	Feb 11
47000	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		000		CPT12	Feb 11
47000	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT12	Feb 11
47000	RUC	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	19	1		000		CPT12	Feb 11
47000	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT12	Feb 11
47000	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT12	Feb 11
47000	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	Feb 11
47000	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	10		000		CPT12	Feb 11
47000	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		CPT12	Feb 11
47010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47010	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47010	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47010	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47010	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47010	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47010	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47010	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47010	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47010	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47010	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47010	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47015	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47015	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47015	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47015	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47015	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47015	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47015	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47015	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47015	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47015	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47015	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47100	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47100	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47100	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47100	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47100	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
47120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47120	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47120	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090			
47120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47120	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47120	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		80	090			
47120	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47120	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47120	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090			
47120	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47122	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47122	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47122	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47122	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090			
47122	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47122	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47122	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47122	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		80	090			
47122	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47122	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47122	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090			
47122	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47125	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47125	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47125	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47125	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090			
47125	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47125	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47125	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47125	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		80	090			
47125	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47125	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47125	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090			
47125	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47130	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47130	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47130	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090			
47130	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47130	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47130	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47130	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		80	090			
47130	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47130	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47130	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090			
47130	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Mar04	T
47135	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
47136	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		7	090		Mar04	T
47136	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
47140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	T
47140	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
47141	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	T
47141	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
47142	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	T
47142	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
47300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47300	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47300	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47300	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47300	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47300	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47300	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47300	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47300	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47300	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47350	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47350	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47350	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47350	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47350	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47350	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47350	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47350	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47350	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47350	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47350	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47350	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47360	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47360	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47360	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47360	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47360	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47360	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47360	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47360	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47360	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47360	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47360	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47360	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47361	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47361	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	47360		
47361	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090	47360		
47361	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090	47360		
47361	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090	47360		
47361	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090	47360		
47361	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090	47360		
47361	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090	47360		
47361	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090	47360		
47361	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090	47360		
47361	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090	47360		
47361	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090	47360		
47362	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47362	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	47360		
47362	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090	47360		
47362	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090	47360		
47362	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090	47360		
47362	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090	47360		
47362	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090	47360		
47362	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090	47360		
47362	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090	47360		
47362	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090	47360		
47362	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090	47360		
47362	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090	47360		
47370	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
47370	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47371	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
47371	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47380	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
47380	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47381	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
47381	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47382	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010		Oct08	
47382	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Oct08	
47382	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		010		Oct08	
47382	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010		Oct08	
47382	RUC	"Kit, Pack, Tray"	SA096	"kit, introducer, radiofrequency, XIi-enhanced RF probe"	kit	99	1		010		Oct08	
47382	RUC	"Kit, Pack, Tray"	SA100	"kit, probe, radiofrequency, XIi-enhanced RF probe"	kit	2695	1		010		Oct08	
47382	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Oct08	
47382	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Oct08	
47382	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		010		Oct08	
47382	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Oct08	
47382	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Oct08	
47382	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Oct08	
47382	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Oct08	
47382	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Oct08	
47382	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Oct08	
47382	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Oct08	
47382	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		Oct08	
47382	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Oct08	
47382	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		010		Oct08	
47382	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		010		Oct08	
47382	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Oct08	
47382	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Oct08	
47382	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		Oct08	
47382	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Oct08	
47382	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		010		Oct08	
47382	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010		Oct08	
47382	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		010		Oct08	
47382	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Oct08	
47382	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		010		Oct08	
47383	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010	47382	May 2014	May 19
47383	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010	47382	May 2014	May 19
47383	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	4		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	4		010	47382	May 2014	May 19
47383	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010	47382	May 2014	May 19
47383	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010	47382	May 2014	May 19
47383	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010	47382	May 2014	May 19
47383	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010	47382	May 2014	May 19
47383	RUC	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.57	455		010	47382	May 2014	May 19
47383	RUC	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.32	575		010	47382	May 2014	May 19
47383	RUC	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1175	4		010	47382	May 2014	May 19
47383	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010	47382	May 2014	May 19
47383	RUC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	1.473	1		010	47382	May 2014	May 19
47383	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010	47382	May 2014	May 19
47383	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010	47382	May 2014	May 19
47383	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010	47382	May 2014	May 19
47383	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010	47382	May 2014	May 19
47383		"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010	47382	May 2014	May 19
47383	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		010	47382	May 2014	May 19
47383	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		010	47382	May 2014	May 19
47383	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		010	47382	May 2014	May 19
47383	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	3		010	47382	May 2014	May 19
47400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47400	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47400	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47400	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47400	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47400	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47400	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47400	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47400	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47400	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47400	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47400	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47420	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47420	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47420	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47420	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47420	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47420	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47420	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47420	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47420	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47420	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47420	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47425	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47425	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47425	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47425	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47425	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47425	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47425	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47425	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47425	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47425	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47425	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47460	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47460	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47460	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47460	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47460	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47460	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47460	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47460	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47460	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47460	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47460	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47460	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47480	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47480	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47480	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47480	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47480	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47480	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47480	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47480	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47480	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47480	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47480	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47480	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47490	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47490	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47490	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47490	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47490	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47490	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47490	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47490	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47490	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47490	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47490	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47490	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
47510	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47511	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
47511	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
47525	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		OCT08	hi
47525	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Oct08	6
47525	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		OCT08	hi
47525	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		OCT08	hi
47525	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Jan04	9
47525	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		OCT08	hi
47525	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		OCT08	hi
47525	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		OCT08	hi
47525	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		OCT08	hi
47525	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		OCT08	hi
47525	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		OCT08	hi
47525	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		OCT08	hi
47525	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		OCT08	hi
47525	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		OCT08	hi
47525	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		Jan04	9
47525	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		OCT08	hi
47525	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		OCT08	hi
47525	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		OCT08	hi
47525	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		OCT08	hi
47525	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		OCT08	hi
47525	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		OCT08	hi
47525	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		OCT08	hi
47525	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		OCT08	hi
47525	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		OCT08	hi
47525	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		OCT08	hi
47525	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		OCT08	hi
47530	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	2	1	090		Jan04	9
47530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	3	090		Jan04	9
47530	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		090		Jan04	9
47530	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	9
47530	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Jan04	9
47530	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Jan04	9
47530	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Jan04	9
47530	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		Jan04	9
47530	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	9
47530	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Jan04	9
47530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		090		Jan04	9
47530	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		090		Jan04	9
47530	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		090		Jan04	9
47530	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		090		Jan04	9
47530	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		090		Jan04	9
47530	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		090		Jan04	9
47530	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		090		Jan04	9
47530	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		090		Jan04	9
47530	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		090		Jan04	9
47530	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		090		Jan04	9
47530	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		090		Jan04	9
47530	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		090		Jan04	9
47530	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		090		Jan04	9
47530	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Jan04	9
47530	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Jan04	9
47530	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		090		Jan04	9
47530	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		Jan04	9
47530	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		090		Jan04	9
47562	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT13	MD Time
47562	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47563	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		CPT12	5 Year
47563	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47564	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
47564	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT12	5 Year
47570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
47570	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
47600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT13	May 45
47600	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Final
47600	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT13	May 45
47600	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090		CPT13	May 45
47600	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090		CPT13	May 45
47605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT13	May 45
47605	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Final
47605	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT13	May 45
47605	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090		CPT13	May 45
47605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090		CPT13	May 45
47610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
47610	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47610	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47610	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090			
47610	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
47610	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47610	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
47610	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47610	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47610	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47610	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47610	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47612	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
47612	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47612	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47612	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090			
47612	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
47612	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
47612	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47612	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47612	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47612	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
47620	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47620	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47620	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090			
47620	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
47620	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
47620	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47620	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47620	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47620	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
47700	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47700	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47700	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47700	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47700	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47700	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47700	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47700	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47700	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47700	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47701	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
47701	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47701	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47701	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47701	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47701	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47701	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47701	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47701	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47701	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47701	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47701	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47711	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47711	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47711	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47711	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47711	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47711	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47711	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47711	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47711	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47711	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47711	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47711	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47712	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47712	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47712	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47712	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47712	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47712	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47712	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47712	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47712	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47712	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47712	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47712	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47715	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47715	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47715	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47715	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47715	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47715	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47715	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47715	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47715	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47715	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47715	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47715	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47720	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47720	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47720	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47720	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47720	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47720	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47720	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47720	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47720	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47720	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47720	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47721	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47721	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47721	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47721	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47721	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47721	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47721	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47721	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47721	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47721	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47721	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47721	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47740	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47740	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47740	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47740	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47740	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47740	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47740	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47740	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47740	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47740	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47740	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47741	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47741	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47741	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47741	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47741	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47741	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47741	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47741	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47741	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47741	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47741	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47741	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47760	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47760	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47760	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47760	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47760	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47760	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47760	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47760	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47760	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47760	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47760	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47765	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47765	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47765	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47765	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47765	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47765	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47765	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47765	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47765	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47765	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47765	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47765	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47780	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47780	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47780	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47780	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47780	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47780	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47780	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47780	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47780	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47780	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47780	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47780	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47785	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47785	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47785	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47785	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47785	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47785	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47785	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47785	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47785	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47785	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47785	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47785	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47800	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47800	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47800	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47800	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47800	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47800	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47800	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47800	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47800	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47800	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47800	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47801	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47801	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47801	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47801	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47801	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47801	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47801	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47801	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47801	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47801	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47801	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47801	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
47802	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47802	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47802	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
47802	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
47802	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
47802	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47802	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
47802	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
47802	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
47802	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
47802	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47802	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
47900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
47900	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
47900	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
47900	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090			
47900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
47900	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090			
47900	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090			
47900	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090			
47900	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
47900	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090			
47900	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090			
47900	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090			
48000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48000	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48000	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48000	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48000	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48000	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48000	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48000	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48000	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48000	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48001	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48001	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48001	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48001	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48001	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48001	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48001	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48001	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48001	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48001	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48020	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48020	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48020	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48020	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48020	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48020	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48020	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48020	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48020	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48020	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
48100	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48100	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48100	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48100	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48100	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48102	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		Feb05	
48102	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		010		Feb05	
48102	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		010		Feb05	
48102	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Feb05	
48102	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		010		Feb05	
48102	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010		Feb05	
48102	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		010		Feb05	
48102	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Feb05	
48102	RUC	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	19	1		010		Feb05	
48102	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Feb05	
48102	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		010		Feb05	
48102	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		Feb05	
48102	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		010		Feb05	
48102	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		010		Feb05	
48105	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
48105	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48105	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48105	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48105	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48105	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48105	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48105	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48105	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48105	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
48120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48120	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48120	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48120	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48120	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48120	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48120	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48120	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48140	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48140	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48140	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48140	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48140	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48140	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48140	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48140	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48140	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48140	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48145	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48145	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48145	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48145	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48145	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48145	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48145	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48145	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48145	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48145	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48146	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
48146	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48146	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			
48146	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		12	090			
48146	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		8	090			
48146	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090			
48146	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		4	090			
48146	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		80	090			
48146	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		4	090			
48146	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
48146	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	090			
48146	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090			
48148	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48148	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48148	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48148	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48148	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48148	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48148	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48148	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48148	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48148	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48148	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
48150	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48150	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5	090			
48150	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		15	090			
48150	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
48150	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
48150	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		5	090			
48150	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		100	090			
48150	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		5	090			
48150	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
48150	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		5	090			
48150	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
48152	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
48152	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48152	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5	090			
48152	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		15	090			
48152	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
48152	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
48152	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		5	090			
48152	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		100	090			
48152	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		5	090			
48152	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
48152	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		5	090			
48152	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
48153	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
48153	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48153	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5	090			
48153	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		15	090			
48153	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
48153	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
48153	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		5	090			
48153	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		100	090			
48153	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		5	090			
48153	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
48153	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		5	090			
48153	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
48154	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
48154	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48154	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5	090			
48154	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		15	090			
48154	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
48154	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
48154	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		5	090			
48154	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		100	090			
48154	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		5	090			
48154	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
48154	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		5	090			
48154	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
48155	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
48155	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48155	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5	090			
48155	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		15	090			
48155	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		10	090			
48155	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090			
48155	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		5	090			
48155	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		100	090			
48155	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		5	090			
48155	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		30	090			
48155	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		5	090			
48155	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
48500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48500	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48500	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48500	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48500	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48500	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48500	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48500	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48500	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48500	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090			
48510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48510	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48510	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48510	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48510	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48510	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48510	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48510	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48510	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48510	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48510	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48510	RUC	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090			
48520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
48520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48520	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48520	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48520	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48520	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48520	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48520	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48520	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48520	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
48540	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48540	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48540	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48540	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48540	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48540	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48540	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48540	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48540	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48545	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48545	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48545	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48545	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48545	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48545	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48545	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48547	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48547	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48547	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48547	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48547	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48547	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48547	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48547	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48548	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
48548	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
48548	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
48548	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282		2	090			
48548	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
48548	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
48548	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
48548	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
48548	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		1	090			
48548	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		6	090			
48548	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
48554	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		10	090		Mar04	T
48554	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
48556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	T
48556	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
49000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49000	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49002	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49010	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
49020	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49040	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49060	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49062	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49062	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	49060		
49082	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 13
49082	RUC	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.382	1		000		CPT12	May 13
49082	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT12	May 13
49082	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT12	May 13
49082	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT12	May 13
49082	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 13
49082	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	5		000		CPT12	May 13
49083	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	May 13
49083	RUC	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.382	1		000		CPT12	May 13
49083	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT12	May 13
49083	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT12	May 13
49083	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT12	May 13
49083	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT12	May 13
49083	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	May 13
49083	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456	5		000		CPT12	May 13
49083	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	30		000		CPT12	May 13
49083	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000		CPT12	May 13
49083	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		000		CPT12	May 13
49180	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		000			
49180	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
49180	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
49180	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
49180	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000			
49180	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		000			
49180	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
49180	RUC	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	19	1		000			
49180	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
49180	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
49180	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
49180	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
49180	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		000			
49180	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000			
49203	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT08	29
49203	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	29
49204	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT08	29
49204	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	29
49205	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT08	29
49205	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT08	29
49215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49215	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
49215	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
49220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49220	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49250	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49255	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49255	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
49320	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
49321	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
49321	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
49322	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
49322	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
49323	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	56313		
49323	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	56313		
49324	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		CPT07	
49324	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		CPT07	
49325	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		CPT07	
49325	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		CPT07	
49400	RUC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	18.83	1		000		Mar04	R
49400	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar04	R
49400	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	R
49400	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Mar04	R
49400	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Mar04	R
49402	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49402	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49405	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 1
49405	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 1
49405	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT14	May 1
49405	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 1
49405	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 1
49405	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		CPT14	May 1
49405	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 1
49405	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	1		000		CPT14	May 1
49405	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		CPT14	May 1
49405	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		CPT14	May 1
49405	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		CPT14	May 1
49405	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		CPT14	May 1
49405	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 1
49405	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 1
49405	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 1
49405	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 1
49405	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000		CPT14	May 1
49405	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT14	May 1
49405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 1
49405	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT14	May 1
49405	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT14	May 1
49405	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT14	May 1
49405	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 1
49406	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 1
49406	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 1
49406	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT14	May 1
49406	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 1
49406	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 1
49406	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		CPT14	May 1
49406	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 1
49406	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	1		000		CPT14	May 1
49406	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		CPT14	May 1
49406	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		CPT14	May 1
49406	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		CPT14	May 1
49406	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		CPT14	May 1
49406	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 1
49406	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 1
49406	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 1
49406	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 1
49406	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000		CPT14	May 1
49406	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT14	May 1
49406	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 1
49406	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT14	May 1
49406	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT14	May 1
49406	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT14	May 1
49406	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 1
49407	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT14	May 1
49407	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT14	May 1
49407	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT14	May 1
49407	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT14	May 1
49407	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT14	May 1
49407	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		CPT14	May 1
49407	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT14	May 1
49407	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	1		000		CPT14	May 1
49407	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		CPT14	May 1
49407	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		CPT14	May 1
49407	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		CPT14	May 1
49407	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		CPT14	May 1
49407	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT14	May 1
49407	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT14	May 1
49407	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT14	May 1
49407	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT14	May 1
49407	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000		CPT14	May 1
49407	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT14	May 1
49407	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT14	May 1
49407	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT14	May 1
49407	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT14	May 1
49407	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT14	May 1
49407	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT14	May 1
49411	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT10	2
49411	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	2
49411	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		000		CPT10	2
49411	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT10	2
49411	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT10	2
49411	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		CPT10	2
49411	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT10	2
49411	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	2
49411	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT10	2
49411	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT10	2
49411	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT10	2
49411	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT10	2
49411	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT10	2
49411	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		000		CPT10	2
49411	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT10	2
49411	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT10	2
49411	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		000		CPT10	2
49411	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT10	2
49411	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		CPT10	2
49411	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000		CPT10	2
49411	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		000		CPT10	2
49411	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT10	2
49411	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000		CPT10	2
49411	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT10	2
49418	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	29
49418	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	29
49418	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT11	29
49418	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000		CPT11	29
49418	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	29
49418	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	29
49418	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000		CPT11	29
49418	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000		CPT11	29
49418	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT11	29
49418	RUC	"Hypodermic, IV"	SC097	Peritoneal Dialysis Catheter	item	487	1		000		CPT11	29
49418	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	1		000		CPT11	29
49418	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		CPT11	29
49418	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		000		CPT11	29
49418	RUC	"Accessory, Procedure"	SD257	Tunneler	item		1		000		CPT11	29
49418	RUC	"Accessory, Procedure"	SD259	Peritoneal Dialysis Sterile Solution (1500 ml)	item	6.37	1		000		CPT11	29
49418	RUC	"Accessory, Procedure"	SD260	Y-set connection tubing	item	151	1		000		CPT11	29
49418	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	29
49418	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		CPT11	29
49418	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	32		000		CPT11	29
49418	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		CPT11	29
49418	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	29
49418	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	29
49418	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000		CPT11	29
49419	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
49419	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
49419	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328		1	090			
49419	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		2	090			
49419	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16		1	090			
49419	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811		2	090			
49422	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
49422	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
49423	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		Jan04	9
49423	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		Jan04	9
49423	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Jan04	9
49423	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Jan04	9
49423	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Jan04	9
49423	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	9
49423	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Jan04	9
49423	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Jan04	9
49423	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Jan04	9
49423	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	9
49423	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		Jan04	9
49423	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		Jan04	9
49423	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		Jan04	9
49423	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		Jan04	9
49423	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		Jan04	9
49423	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		Jan04	9
49423	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		Jan04	9
49423	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		Jan04	9
49423	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		Jan04	9
49423	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		Jan04	9
49423	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Jan04	9
49423	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Jan04	9
49423	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		Jan04	9
49423	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Jan04	9
49423	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Jan04	9
49424	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		Jan04	9
49424	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Jan04	9
49424	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Jan04	9
49424	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Jan04	9
49424	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	9
49424	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Jan04	9
49424	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Jan04	9
49424	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Jan04	9
49424	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	9
49424	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		Jan04	9
49424	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		Jan04	9
49424	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		Jan04	9
49424	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		Jan04	9
49424	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		Jan04	9
49424	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		Jan04	9
49424	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Jan04	9
49424	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Jan04	9
49424	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		Jan04	9
49424	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Jan04	9
49424	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Jan04	9
49425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49425	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49426	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49426	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49428	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Feb05	
49428	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010		Feb05	
49429	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
49429	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
49436	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		CPT07	
49440	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		010		CPT08	30
49440	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010		CPT08	30
49440	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		CPT08	30
49440	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010		CPT08	30
49440	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		010		CPT08	30
49440	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		010		CPT08	30
49440	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT08	30
49440	RUC	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	97	1		010		CPT08	30
49440	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		010		CPT08	30
49440	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010		CPT08	30
49440	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		010		CPT08	30
49440	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		010		CPT08	30
49440	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		CPT08	30
49440	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		010		CPT08	30
49440	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		010		CPT08	30
49441	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		010		CPT08	30
49441	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010		CPT08	30
49441	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		CPT08	30
49441	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010		CPT08	30
49441	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		010		CPT08	30
49441	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		010		CPT08	30
49441	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT08	30
49441	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		010		CPT08	30
49441	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010		CPT08	30
49441	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		010		CPT08	30
49441	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		010		CPT08	30
49441	RUC	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	97.5	1		010		CPT08	30
49441	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		CPT08	30
49441	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		010		CPT08	30
49441	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		010		CPT08	30
49442	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		010		CPT08	30
49442	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010		CPT08	30
49442	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		CPT08	30
49442	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010		CPT08	30
49442	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		010		CPT08	30
49442	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		010		CPT08	30
49442	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT08	30
49442	RUC	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	97	1		010		CPT08	30
49442	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		010		CPT08	30
49442	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		010		CPT08	30
49442	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		010		CPT08	30
49442	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		010		CPT08	30
49442	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010		CPT08	30
49442	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		010		CPT08	30
49442	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		010		CPT08	30
49446	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT08	30
49446	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT08	30
49446	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	30
49446	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT08	30
49446	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT08	30
49446	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		CPT08	30
49446	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	30
49446	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		000		CPT08	30
49446	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT08	30
49446	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT08	30
49446	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		000		CPT08	30
49446	RUC	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	97.5	1		000		CPT08	30
49446	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		CPT08	30
49446	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT08	30
49446	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	30
49450	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT08	30
49450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	30
49450	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT08	30
49450	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT08	30
49450	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		CPT08	30
49450	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	30
49450	RUC	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	97	1		000		CPT08	30
49450	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		000		CPT08	30
49450	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT08	30
49450	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT08	30
49450	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		000		CPT08	30
49450	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		CPT08	30
49450	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT08	30
49450	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	30
49451	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT08	30
49451	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	30
49451	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT08	30
49451	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT08	30
49451	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		CPT08	30
49451	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	30
49451	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		000		CPT08	30
49451	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT08	30
49451	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT08	30
49451	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		000		CPT08	30
49451	RUC	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	97.5	1		000		CPT08	30
49451	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		CPT08	30
49451	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT08	30
49451	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	30
49452	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT08	30
49452	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	30
49452	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT08	30
49452	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT08	30
49452	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		CPT08	30
49452	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	30
49452	RUC	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	97	1		000		CPT08	30
49452	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		000		CPT08	30
49452	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT08	30
49452	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT08	30
49452	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		000		CPT08	30
49452	RUC	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	97.5	1		000		CPT08	30
49452	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		CPT08	30
49452	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT08	30
49452	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	30
49460	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT08	30
49460	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	30
49460	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT08	30
49460	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT08	30
49460	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		CPT08	30
49460	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	30
49460	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.5	2		000		CPT08	30
49460	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT08	30
49460	RUC	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	90	1		000		CPT08	30
49460	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT08	30
49460	RUC	"Accessory, Procedure"	SD176	"guidewire, torque"	item	41	1		000		CPT08	30
49460	RUC	"Accessory, Procedure"	SD206	"sheath, peel away"	item	68.99	1		000		CPT08	30
49460	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		CPT08	30
49460	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	4		000		CPT08	30
49460	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	30
49465	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	30
49465	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT08	30
49465	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT08	30
49465	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT08	30
49465	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	30
49465	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000		CPT08	30
49465	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	30
49491	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
49491	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
49492	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
49492	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
49495	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
49495	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49496	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49496	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49501	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Jan04	19
49505	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Jan04	19
49507	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49507	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49521	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49521	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49525	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49540	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49550	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49553	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49555	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49557	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49557	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49560	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49560	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49561	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49561	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49565	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49565	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49566	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49566	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49570	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49572	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49580	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49582	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49582	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49585	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49587	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49587	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49590	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
49590	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49600	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49605	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49611	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49611	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
49650	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49651	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
49651	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
49652	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT09	15
49652	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	15
49653	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	15
49653	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	15
49654	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT09	15
49654	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	15
49655	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	15
49655	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	15
49656	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT09	15
49656	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	15
49657	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT09	15
49657	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT09	15
49900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
49900	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
49904	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
49904	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
49904	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.539		5	090			
49904	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		5	090			
49904	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		10	090			
49904	RUC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	2.318		5	090			
50010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50010	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
50020	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50040	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50045	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50060	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50065	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50065	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50070	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50070	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50075	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	6
50075	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50080	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Aug03	6
50080	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50081	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	6
50081	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50100	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50125	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50125	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50130	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50135	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50200	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Oct08	13
50200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Oct08	13
50200	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		000		Oct08	13
50200	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Oct08	13
50200	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Oct08	13
50200	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Oct08	13
50200	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		Oct08	13
50200	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000		Oct08	13
50200	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		000		Oct08	13
50200	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Oct08	13
50200	RUC	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	19	1		000		Oct08	13
50200	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		Oct08	13
50200	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		Oct08	13
50200	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Oct08	13
50200	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		000		Oct08	13
50200	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		000		Oct08	13
50200	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		Oct08	13
50200	RUC	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	0.8	3		000		Oct08	13
50205	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Aug03	6
50205	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50220	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50225	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50225	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Aug03	6
50230	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50234	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50234	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50236	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
50236	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		2	090		Aug03	6
50240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
50240	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	88170	RUC05	
50250	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		RUC05	
50280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50280	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50290	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Mar04	T
50320	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
50340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	T
50340	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
50360	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT14	May 34
50360	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	May 34
50365	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		9	090		Mar04	T
50365	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
50370	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Mar04	T
50370	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
50380	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		9	090		Mar04	T
50380	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
50382	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		RUC05	
50382	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		RUC05	
50382	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		RUC05	
50382	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		RUC05	
50382	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		RUC05	
50382	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		RUC05	
50382	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
50382	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		RUC05	
50382	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		RUC05	
50382	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		RUC05	
50382	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		RUC05	
50382	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		RUC05	
50382	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		RUC05	
50382	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		RUC05	
50382	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		RUC05	
50382	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		RUC05	
50382	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		RUC05	
50382	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		RUC05	
50382	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		RUC05	
50382	RUC	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	162	1		000		RUC05	
50382	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		RUC05	
50382	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		RUC05	
50382	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		RUC05	
50382	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		RUC05	
50382	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		RUC05	
50382	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		RUC05	
50382	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		RUC05	
50382	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		RUC05	
50384	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		RUC05	
50384	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		RUC05	
50384	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		RUC05	
50384	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		RUC05	
50384	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		RUC05	
50384	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		RUC05	
50384	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
50384	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		RUC05	
50384	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		RUC05	
50384	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		RUC05	
50384	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		RUC05	
50384	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		RUC05	
50384	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		RUC05	
50384	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		RUC05	
50384	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		RUC05	
50384	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		RUC05	
50384	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		RUC05	
50384	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		RUC05	
50384	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		RUC05	
50384	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		RUC05	
50384	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		RUC05	
50384	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		RUC05	
50384	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		RUC05	
50384	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		RUC05	
50384	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		RUC05	
50384	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		RUC05	
50384	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		RUC05	
50385	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT08	31
50385	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	31
50385	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT08	31
50385	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT08	31
50385	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT08	31
50385	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT08	31
50385	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT08	31
50385	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT08	31
50385	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT08	31
50385	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT08	31
50385	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT08	31
50385	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT08	31
50385	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT08	31
50385	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		CPT08	31
50385	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT08	31
50385	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000		CPT08	31
50385	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT08	31
50385	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		CPT08	31
50385	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		CPT08	31
50385	RUC	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	162	1		000		CPT08	31
50385	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		CPT08	31
50385	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT08	31
50385	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	4		000		CPT08	31
50385	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT08	31
50385	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	31
50386	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT08	31
50386	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	31
50386	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT08	31
50386	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT08	31
50386	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT08	31
50386	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT08	31
50386	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT08	31
50386	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT08	31
50386	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT08	31
50386	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT08	31
50386	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT08	31
50386	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT08	31
50386	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		CPT08	31
50386	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		CPT08	31
50386	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT08	31
50386	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000		CPT08	31
50386	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT08	31
50386	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		CPT08	31
50386	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		CPT08	31
50386	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		CPT08	31
50386	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT08	31
50386	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	4		000		CPT08	31
50386	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT08	31
50386	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT08	31
50387	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		RUC05	
50387	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		RUC05	
50387	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		RUC05	
50387	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		RUC05	
50387	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		RUC05	
50387	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		RUC05	
50387	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
50387	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		RUC05	
50387	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		RUC05	
50387	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		RUC05	
50387	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		RUC05	
50387	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		RUC05	
50387	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		RUC05	
50387	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		RUC05	
50387	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		RUC05	
50387	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		RUC05	
50387	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		RUC05	
50387	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		RUC05	
50387	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		RUC05	
50387	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		RUC05	
50387	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		RUC05	
50387	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		RUC05	
50387	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		RUC05	
50387	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		RUC05	
50387	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		RUC05	
50387	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		RUC05	
50387	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		RUC05	
50389	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		RUC05	
50389	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		RUC05	
50389	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		RUC05	
50389	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		RUC05	
50389	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		RUC05	
50389	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		RUC05	
50389	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		RUC05	
50389	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		RUC05	
50389	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		RUC05	
50389	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		RUC05	
50389	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		RUC05	
50389	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		RUC05	
50389	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		RUC05	
50389	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		RUC05	
50389	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		RUC05	
50389	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	12.745	1		000		RUC05	
50389	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		RUC05	
50389	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		RUC05	
50389	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		RUC05	
50389	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		RUC05	
50389	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		RUC05	
50389	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		RUC05	
50389	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		RUC05	
50389	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		RUC05	
50389	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		RUC05	
50389	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		RUC05	
50391	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
50391	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
50391	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
50391	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		000			
50391	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
50391	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
50391	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000			
50391	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
50391	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
50391	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		000			
50391	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
50394	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
50394	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
50394	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar04	V
50394	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Mar04	V
50394	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Mar04	V
50394	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	V
50394	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Mar04	V
50394	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
50394	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Mar04	V
50394	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		Mar04	V
50394	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar04	V
50394	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		Mar04	V
50394	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		Mar04	V
50394	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Mar04	V
50398	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		Jan04	9
50398	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		Jan04	9
50398	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Jan04	9
50398	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Jan04	9
50398	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Jan04	9
50398	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	9
50398	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		Jan04	9
50398	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Jan04	9
50398	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Jan04	9
50398	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	9
50398	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		Jan04	9
50398	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		Jan04	9
50398	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		000		Jan04	9
50398	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		Jan04	9
50398	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		000		Jan04	9
50398	RUC	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.43	1		000		Jan04	9
50398	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	13.25	1		000		Jan04	9
50398	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		Jan04	9
50398	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000		Jan04	9
50398	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Jan04	9
50398	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		Jan04	9
50398	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		Jan04	9
50398	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Jan04	9
50398	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Jan04	9
50400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50400	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	6
50405	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	6
50525	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50526	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	6
50526	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50540	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50541	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Aug03	6
50541	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50542	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50542	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50543	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
50543	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
50543	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
50544	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Aug03	6
50544	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Aug03	6
50545	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50546	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50546	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50547	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	T
50547	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Mar04	T
50548	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Aug03	6
50548	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50551	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50551	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50551	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50551	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50551	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50551	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50553	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50553	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50553	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50553	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50553	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50555	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50555	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50555	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50555	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50557	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50557	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50557	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50557	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50557	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50557	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50561	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50561	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50561	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50561	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50561	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50561	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50562	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50590	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		CPT13	May 46
50592	RUC	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	50	1		010		RUC05	
50592	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010		RUC05	
50592	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		RUC05	
50592	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	14.65	1		010		RUC05	
50592	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010		RUC05	
50592	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		RUC05	
50592	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		RUC05	
50592	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		010		RUC05	
50592	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		RUC05	
50592	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		RUC05	
50592	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010		RUC05	
50592	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		010		RUC05	
50592	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		RUC05	
50592	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		RUC05	
50592	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		RUC05	
50592	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010		RUC05	
50592	RUC	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	1995	1		010		RUC05	
50592	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		RUC05	
50592	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		RUC05	
50592	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		010		RUC05	
50592	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		010		RUC05	
50592	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010		RUC05	
50592	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		RUC05	
50592	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		RUC05	
50592	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		RUC05	
50592	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		010		RUC05	
50592	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010		RUC05	
50592	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1		010		RUC05	
50592	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		RUC05	
50592	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		010		RUC05	
50593	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		010		CPT08	C
50593	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT08	C
50593	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010		CPT08	C
50593	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		CPT08	C
50593	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		010		CPT08	C
50593	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		CPT08	C
50593	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		010		CPT08	C
50593	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT08	C
50593	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		CPT08	C
50593	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		010		CPT08	C
50593	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		010		CPT08	C
50593	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		CPT08	C
50593	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT08	C
50593	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		010		CPT08	C
50593	RUC	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1175	2.5		010		CPT08	C
50593	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		010		CPT08	C
50593	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT08	C
50593	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010		CPT08	C
50593	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		010		CPT08	C
50593	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		010		CPT08	C
50593	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		010		CPT08	C
50593	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		CPT08	C
50593	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010		CPT08	C
50593	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		010		CPT08	C
50593	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		010		CPT08	C
50593	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		010		CPT08	C
50593	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		010		CPT08	C
50600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Aug03	6
50600	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Aug03	6
50605	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Aug03	6
50610	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Aug03	6
50620	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Aug03	6
50630	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50650	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50660	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50684	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	18
50684	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		Mar03	18
50684	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar04	V
50684	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		Mar03	18
50684	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		Mar03	18
50684	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Mar04	V
50684	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Mar04	V
50684	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	V
50684	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar04	V
50684	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Mar04	V
50684	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar04	V
50684	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		000		Mar04	V
50684	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000		Mar03	18
50684	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Mar04	V
50684	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Mar04	V
50686	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
50686	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar04	V
50686	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Mar04	V
50686	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Mar04	V
50686	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	V
50686	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar04	V
50686	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Mar04	V
50686	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	26.325	1		000		Mar04	V
50686	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar04	V
50686	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		000		Mar04	V
50686	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Mar04	V
50686	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Mar04	V
50690	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar04	V
50690	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		Mar04	V
50690	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		Mar04	V
50690	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar04	V
50690	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar04	V
50690	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
50690	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		Mar04	V
50690	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		Mar04	V
50690	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		Mar04	V
50690	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar04	V
50690	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000		Mar04	V
50690	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		000		Mar04	V
50690	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		Mar04	V
50700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50700	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50715	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50715	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50722	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50722	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50725	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50725	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50727	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50727	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50728	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50728	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50740	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50750	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50760	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50770	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50770	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50780	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50780	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50782	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50782	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50783	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50783	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50785	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50785	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	6
50800	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4.5	090		Aug03	6
50810	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50815	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
50815	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Aug03	6
50820	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
50825	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
50830	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Aug03	6
50840	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Aug03	6
50845	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50860	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50900	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50920	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50930	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50930	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50940	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50940	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50945	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Aug03	6
50945	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50947	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Aug03	6
50947	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50948	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Aug03	6
50948	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Aug03	6
50951	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50951	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50951	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50951	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50951	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50951	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50953	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50953	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50953	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50953	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50953	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50953	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50955	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50955	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50955	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50955	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50955	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50955	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50957	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50957	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50957	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50957	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50957	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50957	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
50961	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Aug03	6
50961	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Aug03	6
50961	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Aug03	6
50961	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Aug03	6
50961	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Aug03	6
50961	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Aug03	6
51020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51020	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51020	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51020	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51030	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51030	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51030	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
51040	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51040	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51040	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
51045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51045	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51045	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51045	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
51050	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51050	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51050	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
51060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51060	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51060	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51060	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51065	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51065	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51065	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51065	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51080	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
51080	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51080	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51080	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	rn
51100	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT08	rn
51100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT08	rn
51100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT08	rn
51100	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT08	rn
51100	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		CPT08	rn
51100	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT08	rn
51100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT08	rn
51100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	rn
51100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT08	rn
51100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT08	rn
51100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		CPT08	rn
51100	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000		CPT08	rn
51101	RUC	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	34.75	1		000		CPT08	rn
51101	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000		CPT08	rn
51101	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	rn
51101	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT08	rn
51101	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT08	rn
51101	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT08	rn
51101	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT08	rn
51101	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		CPT08	rn
51101	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT08	rn
51101	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT08	rn
51101	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT08	rn
51101	RUC	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	8.76	1		000		CPT08	rn
51101	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		CPT08	rn
51101	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT08	rn
51101	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT08	rn
51101	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000		CPT08	rn
51102	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT08	rn
51102	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010		CPT08	rn
51102	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		CPT08	rn
51102	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		CPT08	rn
51102	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT08	rn
51102	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		CPT08	rn
51102	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		CPT08	rn
51102	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		010		CPT08	rn
51102	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010		CPT08	rn
51102	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT08	rn
51102	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT08	rn
51102	RUC	"Accessory, Procedure"	SD034	"catheter, ureteral, Stamey open-tip"	item	27	1		010		CPT08	rn
51102	RUC	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	8.76	1		010		CPT08	rn
51102	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		010		CPT08	rn
51102	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		CPT08	rn
51102	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010		CPT08	rn
51102	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		010		CPT08	rn
51102	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		010		CPT08	rn
51500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51500	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
51500	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090		Apr06	J
51500	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090		Apr06	J
51520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51520	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51520	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51520	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51525	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51525	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51525	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51525	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51530	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51530	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
51535	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51535	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51535	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
51550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51550	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51550	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
51555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51555	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51555	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Apr06	J
51565	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51565	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51565	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Apr06	J
51570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51570	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51570	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090		Apr06	J
51570	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51575	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51575	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51575	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090		Apr06	J
51575	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
51580	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51580	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090		Apr06	J
51580	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
51585	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51585	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090		Apr06	J
51585	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51590	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51590	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51590	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090		Apr06	J
51590	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51595	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51595	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51595	RUC	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090		Apr06	J
51595	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51596	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
51596	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51596	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
51597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
51597	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51597	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51600	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
51600	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
51600	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000			
51600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		000			
51600	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
51600	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
51600	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000			
51600	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000			
51600	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
51600	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	2		000			
51600	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000			
51600	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000			
51600	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
51610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51610	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
51610	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000			
51610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
51610	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		000			
51700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51700	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
51700	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
51700	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
51700	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
51700	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
51700	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
51700	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
51700	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51700	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		000			
51700	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000			
51700	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
51700	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
51700	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
51700	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
51701	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
51701	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
51701	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
51701	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
51701	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
51701	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
51701	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
51701	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51701	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000			
51701	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
51701	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		000			
51701	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
51701	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
51701	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
51702	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000			
51702	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
51702	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
51702	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
51702	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
51702	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
51702	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
51702	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
51702	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51702	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000			
51702	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
51702	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		000			
51702	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
51702	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
51702	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
51703	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
51703	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
51703	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
51703	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
51703	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
51703	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
51703	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
51703	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51703	RUC	"Accessory, Procedure"	SD014	catheter stylet	item	6.938	1		000			
51703	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000			
51703	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
51703	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		000			
51703	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
51703	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
51703	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
51705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		CPT12	5 Year
51705	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
51705	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
51705	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		010			
51705	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		010			
51705	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	4		010			
51705	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	8		010			
51705	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
51705	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
51705	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	30		010			
51705	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	15		010			
51705	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		010			
51705	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		010			
51710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		CPT12	5 Year
51710	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010		CPT12	5 Year
51710	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		CPT12	5 Year
51710	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT12	5 Year
51710	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT12	5 Year
51710	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		010		CPT12	5 Year
51710	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		010		CPT12	5 Year
51710	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		CPT12	5 Year
51710	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010		CPT12	5 Year
51710	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		CPT12	5 Year
51710	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	3		010		CPT12	5 Year
51710	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		010		CPT12	5 Year
51710	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010		CPT12	5 Year
51715	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Apr06	J
51715	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Apr06	J
51715	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Apr06	J
51715	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		Apr06	J
51715	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000		Apr06	J
51715	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		Apr06	J
51720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51720	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
51720	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
51720	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
51720	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
51720	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
51720	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
51720	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
51720	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51720	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000			
51720	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
51720	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
51720	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
51720	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
51725	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51725	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
51725	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000			
51725	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
51725	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000			
51725	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	26.325	1		000			
51725	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51725	RUC	"Accessory, Procedure"	SD012	catheter adapter	item	2.3	1		000			
51725	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.583	3		000			
51725	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
51725	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
51726	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51726	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
51726	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000			
51726	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
51726	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000			
51726	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000			
51726	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
51726	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51726	RUC	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	13.733	1		000			
51726	RUC	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	7.65	1		000			
51726	RUC	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6	1		000			
51726	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	2		000			
51726	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
51726	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
51727	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	32
51727	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT10	32
51727	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000		CPT10	32
51727	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		CPT10	32
51727	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000		CPT10	32
51727	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	32
51727	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000		CPT10	32
51727	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		CPT10	32
51727	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT10	32
51727	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	20.625	1		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	13.733	1		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	3		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	7.65	2		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6	1		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.583	3		000		CPT10	32
51727	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	2		000		CPT10	32
51727	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT10	32
51727	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT10	32
51727	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT10	32
51727	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000		CPT10	32
51727	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5		000		CPT10	32
51727	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT10	32
51727	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000		CPT10	32
51728	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	32
51728	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT10	32
51728	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000		CPT10	32
51728	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		CPT10	32
51728	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000		CPT10	32
51728	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	32
51728	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000		CPT10	32
51728	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		CPT10	32
51728	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT10	32
51728	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		000		CPT10	32
51728	RUC	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	20.625	1		000		CPT10	32
51728	RUC	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	13.733	1		000		CPT10	32
51728	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000		CPT10	32
51728	RUC	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	7.65	2		000		CPT10	32
51728	RUC	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6	1		000		CPT10	32
51728	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.583	3		000		CPT10	32
51728	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	2		000		CPT10	32
51728	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT10	32
51728	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT10	32
51728	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT10	32
51728	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000		CPT10	32
51728	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5		000		CPT10	32
51728	RUC	Lab	SL018	"beaker, 250 ml"	item	0.854	1		000		CPT10	32
51728	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT10	32
51728	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000		CPT10	32
51729	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	32
51729	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT10	32
51729	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000		CPT10	32
51729	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		CPT10	32
51729	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000		CPT10	32
51729	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	32
51729	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000		CPT10	32
51729	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		CPT10	32
51729	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT10	32
51729	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	20.625	1		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	13.733	1		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	3		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	7.65	2		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6	1		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.583	3		000		CPT10	32
51729	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	2		000		CPT10	32
51729	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT10	32
51729	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT10	32
51729	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT10	32
51729	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000		CPT10	32
51729	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5		000		CPT10	32
51729	RUC	Lab	SL018	"beaker, 250 ml"	item	0.854	1		000		CPT10	32
51729	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT10	32
51729	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000		CPT10	32
51736	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	Oct 5
51736	RUC	Lab	SL018	"beaker, 250 ml"	item	0.854	1		XXX		CPT12	Oct 5
51741	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	Oct 5
51741	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.087	1		XXX		CPT12	Oct 5
51741	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX		CPT12	Oct 5
51741	RUC	Lab	SL018	"beaker, 250 ml"	item	0.854	1		XXX		CPT12	Oct 5
51741	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	1		XXX		CPT12	Oct 5
51741	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT12	Oct 5
51784	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51784	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
51784	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000			
51784	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	3		000			
51784	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
51784	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
51784	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
51785	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51785	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
51785	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
51785	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000			
51785	RUC	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.03	2		000			
51785	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	1		000			
51785	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
51785	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
51785	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
51792	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
51792	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
51792	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000			
51792	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
51792	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000			
51792	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	26.325	1		000			
51792	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
51792	RUC	"Accessory, Procedure"	SD012	catheter adapter	item	2.3	1		000			
51792	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000			
51792	RUC	"Accessory, Procedure"	SD056	"electrode, EMG sponge"	item	6.467	1		000			
51792	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.583	3		000			
51792	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
51792	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
51797	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		ZZZ		CPT08	A*
51797	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		ZZZ		CPT08	A*
51797	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		ZZZ		CPT08	A*
51797	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		ZZZ		CPT08	A*
51797	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		ZZZ		CPT08	A*
51797	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		ZZZ		CPT08	A*
51797	RUC	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	20.625	1		ZZZ		CPT08	A*
51797	RUC	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	7.65	1		ZZZ		CPT08	A*
51797	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		ZZZ		CPT08	A*
51797	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		ZZZ		CPT08	A*
51798	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
51798	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX			
51798	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
51798	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	10		XXX			
51798	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.087	1		XXX			
51798	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	1		XXX			
51798	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX			
51800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51800	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51800	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51800	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
51820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51820	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51820	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Apr06	J
51820	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
51840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
51840	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2.5	090			
51840	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51840	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1.5	090			
51841	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
51841	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2.5	090			
51841	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
51841	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1.5	090			
51845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51845	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51845	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
51860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51860	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51860	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51860	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090			
51865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51865	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51865	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51865	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090			
51880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
51880	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51880	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
51880	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
51900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51900	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51900	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Apr06	J
51900	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
51920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51920	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51920	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51920	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
51925	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51925	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		4	090		Apr06	J
51925	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51925	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090		Apr06	J
51940	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51940	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51940	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51940	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
51960	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
51960	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51960	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51960	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
51980	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
51980	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
51980	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
51980	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
51990	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
51990	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
51990	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		8	090			
51990	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090			
51992	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
51992	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
51992	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		8	090			
51992	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090			
52000	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Apr06	J
52000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
52000	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
52000	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
52000	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
52000	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
52001	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Apr06	J
52001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
52001	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
52001	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000			
52001	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
52001	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		000			
52001	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		000			
52001	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	3		000			
52001	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
52001	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000			
52005	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Apr06	J
52005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
52005	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
52005	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
52005	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
52005	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	0.998	1		000			
52005	RUC	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	15	1		000			
52005	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
52007	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52007	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Mar04	V
52007	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52007	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52007	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52007	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52007	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	0.998	1		000		Mar04	V
52007	RUC	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	15	1		000		Mar04	V
52007	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Mar04	V
52007	RUC	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	9.55	1		000		Mar04	V
52007	RUC	"Accessory, Procedure"	SD167	endoscopic deflecting brush	item	73.5	1		000		Mar04	V
52010	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52010	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Mar04	V
52010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52010	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52010	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52010	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52010	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	0.998	1		000		Mar04	V
52010	RUC	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	15	1		000		Mar04	V
52010	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Mar04	V
52010	RUC	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	9.55	1		000		Mar04	V
52204	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52204	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52204	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52204	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52204	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52204	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Mar04	V
52204	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		Mar04	V
52204	RUC	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	15	1		000		Mar04	V
52204	RUC	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	115	1		000		Mar04	V
52204	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		Mar04	V
52204	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		Mar04	V
52214	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1				CPT13	Mar 5
52214	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1				CPT13	Mar 5
52214	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1				CPT13	Mar 5
52214	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1				CPT13	Mar 5
52214	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1				CPT13	Mar 5
52214	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		CPT14	Final
52214	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1				CPT13	Mar 5
52214	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1				CPT13	Mar 5
52214	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1				CPT13	Mar 5
52214	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1				CPT13	Mar 5
52214	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	0.998	1				CPT13	Mar 5
52214	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1				CPT13	Mar 5
52214	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1				CPT13	Mar 5
52214	RUC	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	290	1				CPT13	Mar 5
52214	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000		CPT14	Final
52214	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	2				CPT13	Mar 5
52214	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1				CPT13	Mar 5
52214	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	4				CPT13	Mar 5
52224	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1				CPT13	Mar 5
52224	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1				CPT13	Mar 5
52224	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1				CPT13	Mar 5
52224	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1				CPT13	Mar 5
52224	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1				CPT13	Mar 5
52224	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2				CPT14	Final
52224	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1				CPT13	Mar 5
52224	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1				CPT13	Mar 5
52224	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1				CPT13	Mar 5
52224	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	0.998	1				CPT13	Mar 5
52224	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1				CPT13	Mar 5
52224	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1				CPT13	Mar 5
52224	RUC	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	290	1				CPT13	Mar 5
52224	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1				CPT13	Mar 5
52224	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	2				CPT13	Mar 5
52224	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1				CPT13	Mar 5
52224	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	3				CPT13	Mar 5
52224	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	4				CPT13	Mar 5
52265	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52265	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52265	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52265	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52265	RUC	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	115	1		000		Mar04	V
52265	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		Mar04	V
52265	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000		Mar04	V
52270	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52270	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52270	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52270	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52270	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		000		Mar04	V
52270	RUC	"Cutters, Closures, Cautery"	SF045	"blade, urethrotome"	item	85.03	1		000		Mar04	V
52275	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52275	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52275	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000		Mar04	V
52275	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52275	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52275	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		000		Mar04	V
52275	RUC	"Accessory, Procedure"	SD074	filiform	item	9.19	1		000		Mar04	V
52275	RUC	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	115	1		000		Mar04	V
52275	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000		Mar04	V
52275	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		000		Mar04	V
52281	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Apr06	J
52281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
52281	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
52281	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
52281	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
52281	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000			
52281	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000			
52281	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
52283	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Apr06	J
52283	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
52283	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
52283	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
52283	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
52283	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
52283	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
52283	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
52285	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Apr06	J
52285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
52285	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000			
52285	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000			
52285	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
52285	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
52287	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1		000		CPT13	May 18
52287	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT13	May 18
52287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	May 18
52287	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT13	May 18
52287	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT13	May 18
52287	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000		CPT13	May 18
52287	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000		CPT13	May 18
52287	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT13	May 18
52287	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		CPT13	May 18
52287	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		000		CPT13	May 18
52287	RUC	"Hypodermic, IV"	SC099	"needle, cystoscope"	item	30.25	1		000		CPT13	May 18
52287	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000		CPT13	May 18
52287	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	50		000		CPT13	May 18
52287	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	3		000		CPT13	May 18
52287	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT13	May 18
52287	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		000		CPT13	May 18
52287	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	4		000		CPT13	May 18
52310	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52310	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52310	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52310	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52315	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52315	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Mar04	V
52315	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52315	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52315	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52315	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52315	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Mar04	V
52317	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52317	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52317	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52317	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000		Mar04	V
52317	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52317	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52317	RUC	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	290	1		000		Mar04	V
52317	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		000		Mar04	V
52330	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		Mar04	V
52330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52330	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52330	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52330	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52330	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	0.998	1		000		Mar04	V
52330	RUC	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	15	1		000		Mar04	V
52330	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		Mar04	V
52330	RUC	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	65	1		000		Mar04	V
52330	RUC	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	9.55	1		000		Mar04	V
52332	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
52332	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		Mar04	V
52332	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		000		Mar04	V
52332	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Mar04	V
52332	RUC	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	15	1		000		Mar04	V
52332	RUC	"Accessory, Procedure"	SD239	"stent, ureteral, w-guidewire, 3cm flexible tip"	item	235	1		000		Apr06	J
52400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
52441		"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1		000	52287	May 2014	May 20
52441	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000	52287	May 2014	May 20
52441	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	52287	May 2014	May 20
52441		"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000	52287	May 2014	May 20
52441	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000	52287	May 2014	May 20
52441	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000	52287	May 2014	May 20
52441		"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		000	52287	May 2014	May 20
52441	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000	52287	May 2014	May 20
52441	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000	52287	May 2014	May 20
52441		"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000	52287	May 2014	May 20
52441		"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		000	52287	May 2014	May 20
52441		"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000	52287	May 2014	May 20
52441		"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000	52287	May 2014	May 20
52441	Invoice		SD291	Urolift Implant and implantation device		775	1		000	52287	May 2014	May 20
52441	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	50		000	52287	May 2014	May 20
52441		"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	3		000	52287	May 2014	May 20
52441	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000	52287	May 2014	May 20
52441		"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		000	52287	May 2014	May 20
52441		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		000	52287	May 2014	May 20
52441	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	4		000	52287	May 2014	May 20
52442	RUC		SD291	Urolift Implant and implantation device		775	1		ZZZ	52287	May 2014	May 20
52450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
52500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
52601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
52630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
52640	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
52647	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		090			
52647	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		090		Apr06	J
52647	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090			
52647	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		090			
52647	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		090			
52647	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.159	1		090			
52647	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		090			
52647	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090			
52647	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		090			
52647	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090			
52647	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		090			
52647	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090			
52647	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090			
52647	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	10		090			
52647	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.226	1		090			
52647	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	5.077	1		090			
52647	RUC	"Cutters, Closures, Cautery"	SF030	"laser tip, diffuser fiber"	item	850	1		090			
52647	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		090			
52647	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090			
52647	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		090			
52647	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	2		090			
52647	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		090			
52647	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090			
52648	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		090	52647		
52648	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		090		Apr06	J
52648	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090	52647		
52648	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		090	52647		
52648	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		090	52647		
52648	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.159	1		090	52647		
52648	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		090	52647		
52648	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090	52647		
52648	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		090	52647		
52648	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090	52647		
52648	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		090	52647		
52648	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090	52647		
52648	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090	52647		
52648	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	10		090	52647		
52648	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.226	1		090	52647		
52648	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	5.077	1		090	52647		
52648	RUC	"Cutters, Closures, Cautery"	SF030	"laser tip, diffuser fiber"	item	850	1		090	52647		
52648	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		090	52647		
52648	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090	52647		
52648	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		090	52647		
52648	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	2		090	52647		
52648	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		090	52647		
52648	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090	52647		
52649	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	010		CPT12	5 Year
52649	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013		1	010		CPT12	5 Year
52649	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.087		2	010		CPT12	5 Year
52649	RUC	Lab	SL018	"beaker, 250 ml"	item	0.854		1	010		CPT12	5 Year
52649	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028		1	010		CPT12	5 Year
52649	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		1	010		CPT12	5 Year
52700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
53000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
53000	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
53010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53010	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53010	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
53010	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090		Apr06	J
53040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53040	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
53060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
53060	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	V
53060	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		Mar04	V
53060	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
53060	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	V
53080	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53080	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53080	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090		Apr06	J
53080	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53085	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53085	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53085	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494		3	090		Apr06	J
53085	RUC	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090		Apr06	J
53085	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090		Apr06	J
53085	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	V
53210	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53210	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53210	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
53215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53215	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53215	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
53220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53220	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53220	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53230	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53230	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
53230	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53235	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53235	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53235	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53240	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53240	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
53240	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
53250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53250	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53250	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090		Apr06	J
53260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
53260	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	V
53260	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		Mar04	V
53260	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
53260	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	V
53265	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	V
53265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
53265	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	V
53265	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		Mar04	V
53265	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
53265	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar04	V
53265	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	V
53265	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	V
53265	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		010		Mar04	V
53270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
53270	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	V
53270	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		010		Mar04	V
53270	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
53270	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	V
53275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
53275	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
53400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53400	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53400	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
53405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53405	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53405	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
53410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53410	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53410	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
53415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53415	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53415	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
53420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53420	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53420	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
53425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53425	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53425	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
53430	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53430	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53430	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
53431	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	53443		
53431	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	53443		
53431	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090	53443		
53431	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090	53443		
53440	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT12	5 Year
53440	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT12	5 Year
53442	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
53442	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
53444	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
53444	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
53445	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Feb08	ss
53445	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			ss
53445	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090			ss
53446	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
53446	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		2	090			
53447	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
53447	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		2	090			
53448	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
53448	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		2	090			
53449	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53449	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
53449	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53450	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53450	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53460	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53460	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53460	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
53500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
53500	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136		1	090			
53500	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090			
53500	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		3	090			
53502	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53502	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53502	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
53502	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
53505	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53505	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53510	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53510	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53515	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53515	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53515	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
53520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
53520	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
53600	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
53600	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
53600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
53600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
53600	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
53600	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
53600	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
53600	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
53600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
53600	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
53601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
53601	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
53601	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
53601	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
53601	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
53601	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
53601	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
53601	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
53601	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
53601	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
53601	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
53620	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
53620	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
53620	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
53620	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
53620	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
53620	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
53620	RUC	"Accessory, Procedure"	SD074	filiform	item	9.19	1		000			
53620	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
53620	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
53620	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.67		000			
53620	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
53621	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
53621	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
53621	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
53621	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
53621	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
53621	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
53621	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
53621	RUC	"Accessory, Procedure"	SD074	filiform	item	9.19	1		000			
53621	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
53621	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
53621	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.67		000			
53621	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
53660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
53660	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
53660	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
53660	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
53660	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
53660	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
53660	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
53660	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000			
53660	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
53660	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
53660	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
53660	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
53661	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
53661	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
53661	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
53661	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
53661	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
53661	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
53661	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
53661	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.7	1		000			
53661	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
53661	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
53661	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
53661	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000			
53850	RUC	"Kit, Pack, Tray"	SA036	"kit, transurethral microwave thermotherapy"	kit	1149	1		090		CPT13	May 47
53850	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		CPT13	May 47
53850	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	2		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.159	1		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT13	May 47
53850	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090		CPT13	May 47
53850	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT13	May 47
53850	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		090		CPT13	May 47
53850	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		CPT13	May 47
53850	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		090		CPT13	May 47
53850	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		CPT13	May 47
53850	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	5.077	1		090		CPT13	May 47
53850	RUC	"Accessory, Procedure"	SD271	Rectal probe	item	50	1		090		CPT13	May 47
53850	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		CPT13	May 47
53850	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	30		090		CPT13	May 47
53850	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090		CPT13	May 47
53850	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	4		090		CPT13	May 47
53850	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		090		CPT13	May 47
53850	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	6		090		CPT13	May 47
53850	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		090		CPT13	May 47
53850	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		090		CPT13	May 47
53850	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	2		090		CPT13	May 47
53850	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	4		090		CPT13	May 47
53852	RUC	"Kit, Pack, Tray"	SA037	"kit, transurethral needle ablation (TUNA)"	kit	1050	1		090		Aug03	6
53852	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		090		Aug03	6
53852	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		090		Aug03	6
53852	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Aug03	6
53852	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		090		Aug03	6
53852	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Aug03	6
53852	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Aug03	6
53852	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.159	1		090		Aug03	6
53852	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		090		Aug03	6
53852	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Aug03	6
53852	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		090		Aug03	6
53852	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Aug03	6
53852	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090		Aug03	6
53852	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		Aug03	6
53852	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		090		Aug03	6
53852	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Aug03	6
53852	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	5.077	1		090		Aug03	6
53852	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	1		090		Aug03	6
53852	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		090		Aug03	6
53852	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	3		090		Aug03	6
53852	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		Aug03	6
53852	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		090		Aug03	6
53852	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		090		Aug03	6
53852	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	6		090		Aug03	6
53852	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Aug03	6
53855	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	13
53855	RUC	"Kit, Pack, Tray"	SA101	"kit, stent, urethral, prostatic, insertion tool and surveyor"	kit	575	1		000		CPT10	13
53855	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT10	13
53855	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT10	13
53855	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		000		CPT10	13
53855	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT10	13
53855	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT10	13
53855	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000		CPT10	13
53855	RUC	"Accessory, Procedure"	SD074	filiform	item	9.19	1		000		CPT10	13
53855	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		000		CPT10	13
53855	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		000		CPT10	13
53855	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		000		CPT10	13
53855	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		000		CPT10	13
53860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3		090		CPT11	10
53860	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT11	10
53860	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		090		CPT11	10
53860	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		090		CPT11	10
53860	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		090		CPT11	10
53860	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT11	10
53860	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		CPT11	10
53860	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT11	10
53860	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT11	10
53860	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	3		090		CPT11	10
53860	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090		CPT11	10
53860	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	6		090		CPT11	10
53860	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090		CPT11	10
53860	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		CPT11	10
53860	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		090		CPT11	10
53860	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		CPT11	10
53860	RUC	"Accessory, Procedure"	SD245	Renessa probe	item	1095	1		090		CPT11	10
53860	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		090		CPT11	10
53860	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		CPT11	10
53860	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		090		CPT11	10
53860	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		090		CPT11	10
53860	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		CPT11	10
53860	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		090		CPT11	10
53860	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		090		CPT11	10
53860	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	1		090		CPT11	10
53860	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		CPT11	10
53860	RUC	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.15	1		090		CPT11	10
53860	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		090		CPT11	10
53860	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		090		CPT11	10
53860	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	1		090		CPT11	10
54000	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	V
54000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
54000	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		Mar04	V
54000	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Mar04	V
54000	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	V
54000	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	V
54000	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	V
54000	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	V
54000	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010		Mar04	V
54000	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		010		Mar04	V
54000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	V
54001	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	V
54001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
54001	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		Mar04	V
54001	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Mar04	V
54001	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	V
54001	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	V
54001	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	V
54001	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	V
54001	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	V
54001	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	V
54001	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010		Mar04	V
54001	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		010		Mar04	V
54001	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		010		Mar04	V
54001	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	V
54015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
54015	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
54050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
54050	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
54050	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
54050	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
54050	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
54050	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010			
54050	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010			
54050	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010			
54050	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010			
54050	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		010			
54050	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010			
54055	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
54055	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
54055	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
54055	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
54055	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
54055	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010			
54055	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010			
54055	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010			
54055	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010			
54055	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		010			
54055	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010			
54056	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
54056	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Mar04	V
54056	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		010		Mar04	V
54056	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	V
54056	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
54056	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar04	V
54056	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	V
54056	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	30		010		Mar04	V
54056	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010		Mar04	V
54056	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010		Mar04	V
54056	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		010		Mar04	V
54056	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	V
54056	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		010		Mar04	V
54056	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010		Mar04	V
54057	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
54057	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Mar04	V
54057	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		010		Mar04	V
54057	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	V
54057	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
54057	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar04	V
54057	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	V
54057	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010		Mar04	V
54057	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010		Mar04	V
54057	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		010		Mar04	V
54057	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	V
54057	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		010		Mar04	V
54057	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010		Mar04	V
54060	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	V
54060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
54060	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	V
54060	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Mar04	V
54060	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		010		Mar04	V
54060	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	V
54060	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	V
54060	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
54060	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar04	V
54060	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	V
54060	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	V
54060	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	V
54060	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	V
54060	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010		Mar04	V
54060	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010		Mar04	V
54060	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		010		Mar04	V
54060	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	V
54060	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010		Mar04	V
54065	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	V
54065	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	V
54065	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		Mar04	V
54065	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	3		010		Mar04	V
54065	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	V
54065	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	V
54065	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	V
54065	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Mar04	V
54065	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	V
54065	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	1		010		Mar04	V
54065	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010		Mar04	V
54065	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010		Mar04	V
54065	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		010		Mar04	V
54065	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	V
54065	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010		Mar04	V
54100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
54100	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1		000			
54100	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
54100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
54100	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
54100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
54100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
54100	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
54100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
54100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
54100	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
54100	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
54100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
54100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
54100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
54100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
54100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		000			
54100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
54100	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
54100	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000			
54105	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	Q
54105	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010		Mar04	Q
54105	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		010		Mar04	Q
54105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	Q
54105	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	Q
54105	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	Q
54105	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		Mar04	Q
54105	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	Q
54105	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		Mar04	Q
54105	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		Mar04	Q
54105	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar04	Q
54105	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		010		Mar04	Q
54105	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010		Mar04	Q
54105	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Mar04	Q
54110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	V
54110	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
54111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	V
54111	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
54112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	V
54112	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
54115	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3.5	2.5	090		Mar04	V
54115	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	V
54115	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Mar04	V
54115	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		090		Mar04	V
54115	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		Mar04	V
54115	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar04	V
54115	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Mar04	V
54120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	V
54120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
54125	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	V
54125	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
54130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	V
54130	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
54135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3.5	090		Mar04	V
54135	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
54150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar04	Q
54150	RUC	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	25.1725	1		000		Mar04	Q
54150	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT07	
54150	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT07	
54150	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT07	
54150	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		000		Mar04	Q
54150	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	2		000		CPT07	
54150	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT07	
54160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	Q
54160	RUC	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	25.1725	1		010		Mar04	Q
54160	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	Q
54160	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	Q
54160	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	Q
54160	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		010		Mar04	Q
54160	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		010		Mar04	Q
54161	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
54161	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
54161	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		1	010			
54162	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Mar04	Q
54162	RUC	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	25.1725	1		010		Mar04	Q
54162	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar04	Q
54162	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	Q
54162	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar04	Q
54162	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		010		Mar04	Q
54162	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		010		Mar04	Q
54163	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
54163	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
54164	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
54164	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
54200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
54200	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
54200	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
54200	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
54200	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
54200	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
54200	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
54200	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010			
54200	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010			
54200	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010			
54200	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010			
54200	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010			
54205	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54205	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54205	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090			
54205	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
54220	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1		000			
54220	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
54220	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
54220	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
54220	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
54220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
54220	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
54220	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
54220	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
54220	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
54220	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
54220	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
54220	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
54220	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
54220	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
54220	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
54220	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		000			
54220	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
54220	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000			
54230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
54230	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000			
54230	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
54230	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
54230	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
54230	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
54230	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		000			
54231	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
54231	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1.5		000			
54231	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
54231	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
54231	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
54231	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000			
54235	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
54235	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
54235	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
54235	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
54235	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000			
54240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
54240	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		000			
54240	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
54240	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000			
54250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
54300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54300	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54300	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
54304	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54304	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54304	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54304	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54308	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54308	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54308	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54312	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54312	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54312	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54316	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54316	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54316	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54316	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54318	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54318	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54318	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54322	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54322	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54322	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
54324	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54324	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54324	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54326	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54326	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54326	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54326	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
54328	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54328	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54328	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54328	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54332	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54332	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54332	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54332	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54336	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
54336	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54336	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54336	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		35	090		Apr06	J
54340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54340	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54340	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54340	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
54344	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54344	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54344	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54344	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
54348	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54348	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54348	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54348	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54352	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
54352	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54352	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090		Apr06	J
54352	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		35	090		Apr06	J
54360	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54360	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54360	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
54380	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54380	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54380	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54385	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
54385	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54385	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54390	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
54390	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54390	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		30	090		Apr06	J
54400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54400	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54400	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
54400	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
54401	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
54401	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54401	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
54405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54405	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54405	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
54406	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
54406	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54408	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
54408	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Feb08	ss
54410	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54411	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
54411	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
54415	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54416	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
54416	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54417	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
54417	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54420	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54420	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090			
54420	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54430	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54430	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54430	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090			
54430	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54435	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54435	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54435	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771		2	090			
54435	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
54450	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		000		Feb05	
54505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
54505	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
54505	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	010			
54512	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
54512	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54512	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54512	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		10	090			
54520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54520	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54520	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54520	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54522	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
54522	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54522	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
54522	RUC	"Wound Care, Dressings"	SG071	scrotal support	item	6.695		1	090			
54522	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		10	090			
54530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Feb08	ss
54530	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54530	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54530	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54535	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54535	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54535	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54535	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54550	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54550	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54550	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54560	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54560	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54560	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54560	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54600	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54600	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54600	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
54620	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
54620	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		1	010			
54640	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54640	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54640	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54640	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54650	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
54650	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
54650	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54660	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54660	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54660	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54670	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54670	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54670	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54670	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54680	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54680	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54680	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54680	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54690	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	54560		
54690	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	54560		
54690	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090	54560		
54690	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090	54560		
54692	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
54692	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
54700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
54700	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
54830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54830	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54830	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54830	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54840	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54840	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54840	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54860	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54860	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54860	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54861	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54861	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54861	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54861	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
54865	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54865	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54865	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
54900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
54900	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54900	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54900	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
54901	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
54901	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
54901	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
54901	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090			
55000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
55000	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1		000			
55000	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
55000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
55000	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
55000	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
55000	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
55000	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
55000	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
55000	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
55000	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		000			
55000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
55000	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
55000	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		000			
55040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55040	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55040	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55040	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55041	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55041	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55041	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55041	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
55060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55060	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55060	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55060	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
55100	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
55100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010			
55100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
55100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
55100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
55100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
55100	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
55100	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		010			
55100	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
55100	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
55100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
55100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		010			
55100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
55100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010			
55100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010			
55100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010			
55100	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		010			
55100	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010			
55110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	V
55110	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
55120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	V
55120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
55150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	V
55150	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
55175	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Mar04	V
55175	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
55180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Mar04	V
55180	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
55200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	090		Mar04	V
55200	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	V
55200	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Mar04	V
55200	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Mar04	V
55200	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	V
55200	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		Mar04	V
55200	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar04	V
55200	RUC	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	115	1		090		Mar04	V
55200	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Mar04	V
55200	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Mar04	V
55200	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		090		Mar04	V
55250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Mar04	V
55250	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Mar04	V
55250	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Mar04	V
55250	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Mar04	V
55250	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar04	V
55250	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		Mar04	V
55250	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Mar04	V
55250	RUC	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	115	1		090		Mar04	V
55250	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Mar04	V
55250	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Mar04	V
55250	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		090		Mar04	V
55400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090		Mar04	V
55400	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Mar04	V
55450	RUC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010			
55450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
55450	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1		010			
55450	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		010			
55450	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
55450	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
55450	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
55450	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010			
55450	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010			
55450	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
55450	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
55450	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
55450	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
55450	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
55450	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
55450	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
55450	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
55450	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		010			
55450	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	30		010			
55450	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010			
55450	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		010			
55450	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		010			
55500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55500	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55500	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55500	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55520	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55520	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55520	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55530	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55530	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55530	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55535	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55535	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55535	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55535	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55540	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55540	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55540	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
55550	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
55550	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090			
55550	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090			
55600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55600	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55600	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55600	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
55605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55605	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55605	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55605	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
55650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55650	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55650	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55650	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
55680	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55680	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
55680	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55680	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090			
55700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
55700	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	2		000			
55700	RUC	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	28.42	1		000			
55700	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.6	1		000			
55700	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
55700	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000			
55700	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	50		000			
55705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
55705	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
55706	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	010		CPT09	16
55706	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	010		CPT09	16
55720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
55720	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55720	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55720	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
55725	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55725	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55725	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
55801	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
55801	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55801	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090		Apr06	J
55810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55810	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55810	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Apr06	J
55810	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
55812	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
55812	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55812	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Apr06	J
55812	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
55815	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
55815	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55815	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		Apr06	J
55815	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
55821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55821	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55821	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
55831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55831	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55831	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		Apr06	J
55840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	55840	May 2014	May 43
55840	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	55840	May 2014	May 43
55840	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090	55840	May 2014	May 43
55840		"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090	55840	May 2014	May 43
55840	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		3	090	55840	May 2014	May 43
55842	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	55842	May 2014	May 43
55842	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	55842	May 2014	May 43
55842	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090	55842	May 2014	May 43
55842	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090	55842	May 2014	May 43
55842	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		3	090	55842	May 2014	May 43
55845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	55845	May 2014	May 43
55845	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	55845	May 2014	May 43
55845	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090	55845	May 2014	May 43
55845	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090	55845	May 2014	May 43
55845	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		3	090	55845	May 2014	May 43
55860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55860	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55860	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55860	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
55862	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55862	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55862	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55862	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090			
55865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
55865	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
55865	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090			
55865	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		25	090			
55866	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT11	54
55866	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT11	54
55870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
55870	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
55873	RUC	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	34.75	1		090		Feb09	
55873	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		090		Feb09	
55873	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Feb09	
55873	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		090		Feb09	
55873	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		090		Feb09	
55873	RUC	"Kit, Pack, Tray"	SA099	"Kit, probe, cryoablation, prostate (Galil-Endocare)"	kit	4700	1		090		Feb09	
55873	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		090		Feb09	
55873	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090		Feb09	
55873	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	2		090		Feb09	
55873	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.159	2		090		Feb09	
55873	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.089	1		090		Feb09	
55873	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		090		Feb09	
55873	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	8		090		Feb09	
55873	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		090		Feb09	
55873	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		090		Feb09	
55873	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Feb09	
55873	RUC	"Accessory, Procedure"	SD074	filiform	item	9.19	1		090		Feb09	
55873	RUC	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.25	473		090		Feb09	
55873	RUC	"Accessory, Procedure"	SD088	guidewire	item	9.998	1		090		Feb09	
55873	RUC	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.25	523		090		Feb09	
55873	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		090		Feb09	
55873	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090		Feb09	
55873	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2		090		Feb09	
55873	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		090		Feb09	
55873	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	2		090		Feb09	
55873	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		090		Feb09	
55873	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.079	1		090		Feb09	
55873	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	50		090		Feb09	
55873	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		090		Feb09	
55873	RUC	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3	1		090		Feb09	
55873	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		090		Feb09	
55873	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		090		Feb09	
55875	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
55875	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	55860		
55875	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090	55860		
55875	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090	55860		
55876	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		000		CPT07	
55876	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT07	
55876	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	2		000		CPT07	
55876	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.6	1		000		CPT07	
55876	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		CPT07	
55876	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT07	
56405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
56405	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1	1	010			
56405	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1	1	010			
56405	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
56405	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
56405	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
56405	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
56405	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		010			
56405	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		010			
56405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
56405	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
56405	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
56420	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
56420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
56420	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010		Feb05	
56420	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Feb05	
56420	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Feb05	
56420	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010		Feb05	
56420	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010		Feb05	
56420	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	45		010		Feb05	
56420	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		010		Feb05	
56440	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
56440	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
56441	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1	1	010			
56441	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1	1	010			
56441	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1	1	010			
56441	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
56441	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
56441	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
56441	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
56441	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
56441	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
56441	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		010			
56441	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		010			
56441	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
56441	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
56441	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
56501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
56501	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
56501	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
56501	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
56501	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		010			
56501	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
56501	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
56501	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
56501	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
56501	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
56501	RUC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	1		010			
56501	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		010			
56501	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
56501	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
56501	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
56515	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
56515	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
56515	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
56515	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
56515	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		010			
56515	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
56515	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
56515	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
56515	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
56515	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
56515	RUC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.161	1		010			
56515	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		010			
56515	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
56515	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
56515	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
56605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
56605	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
56605	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
56605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
56605	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
56605	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
56605	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
56605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
56605	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000			
56605	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
56606	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		ZZZ			
56606	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		ZZZ			
56606	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		ZZZ			
56606	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ			
56606	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		ZZZ			
56606	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		ZZZ			
56620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Feb08	ss
56620	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		4	090		Feb08	ss
56620	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56620	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090		Feb08	ss
56620	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
56625	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
56625	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
56625	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56625	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
56625	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		9	090		Apr06	J
56630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
56630	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
56630	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56630	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
56630	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090		Apr06	J
56630	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99		1	090		Apr06	J
56630	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
56630	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		16	090		Apr06	J
56631	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
56631	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
56631	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56631	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
56631	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090		Apr06	J
56631	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99		1	090		Apr06	J
56631	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
56631	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		24	090		Apr06	J
56632	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
56632	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		5	090		Apr06	J
56632	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56632	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		5	090		Apr06	J
56632	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090		Apr06	J
56632	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99		1	090		Apr06	J
56632	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
56632	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		24	090		Apr06	J
56633	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
56633	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
56633	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56633	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
56633	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090		Apr06	J
56633	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99		1	090		Apr06	J
56633	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
56633	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		16	090		Apr06	J
56634	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
56634	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
56634	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56634	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
56634	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090		Apr06	J
56634	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99		1	090		Apr06	J
56634	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
56634	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		24	090		Apr06	J
56637	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
56637	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
56637	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
56637	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090		Apr06	J
56637	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99		1	090		Apr06	J
56637	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
56637	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		24	090		Apr06	J
56640	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
56640	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
56640	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
56640	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090		Apr06	J
56640	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99		1	090		Apr06	J
56640	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Apr06	J
56640	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		24	090		Apr06	J
56700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
56700	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
56700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
56700	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
56700	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		1	010			
56700	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	010			
56700	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	010			
56700	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	010			
56700	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	010			
56740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
56740	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
56740	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
56740	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	010			
56740	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		1	010			
56740	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	010			
56740	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	010			
56740	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	010			
56740	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	010			
56800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
56800	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
56800	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
56805	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
56805	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
56805	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
56805	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
56805	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
56810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
56810	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
56810	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
56820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
56820	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
56820	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
56820	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
56820	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
56820	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
56820	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
56821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
56821	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
56821	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
56821	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
56821	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
56821	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000			
56821	RUC	"Hypodermic, IV"	SC046	"punch, biopsy"	item	1.888	1		000			
56821	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	1		000			
56821	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
56821	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
56821	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
56821	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000			
56821	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000			
56821	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
56821	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
56821	RUC	Infection Control	SM002	autoclave bag	item	0.07	2		000			
56821	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
57000	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
57000	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
57010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57010	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57010	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57010	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57010	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57020	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57020	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57020	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57020	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
57020	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		000			
57022	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
57022	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
57022	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
57023	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
57023	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
57023	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
57061	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57061	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57061	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57061	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57061	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		010			
57061	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57061	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
57061	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
57061	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
57061	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
57061	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		010			
57061	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57061	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
57061	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
57065	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57065	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57065	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57065	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57065	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		010			
57065	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57065	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
57065	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
57065	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
57065	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
57065	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		010			
57065	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57065	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
57065	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
57100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57100	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
57100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
57100	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
57100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
57100	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
57105	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57105	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57105	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1	1	010			
57105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1	1	010			
57105	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57105	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
57105	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
57105	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
57105	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	2	2	010			
57105	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12	12	010			
57105	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10	10	010			
57105	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	2	010			
57105	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1	1	010			
57105	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010			
57106	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57106	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57106	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57106	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57106	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57107	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57107	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57107	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57107	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57107	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57109	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57109	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57109	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57109	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57109	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57110	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57110	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57110	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57110	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57111	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57111	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57111	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57111	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57112	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57112	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57112	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57112	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57120	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57120	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57120	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57120	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57130	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57130	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57130	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57130	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		010			
57130	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57130	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
57130	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
57130	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
57130	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
57130	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		010			
57130	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57130	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
57130	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
57135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57135	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57135	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57135	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57135	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		010			
57135	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57135	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
57135	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
57135	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010			
57135	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010			
57135	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		010			
57135	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57135	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
57135	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		010			
57150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	Feb05	Feb05	
57150	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000	Feb05	Feb05	
57150	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	5.077	1		000	Feb05	Feb05	
57150	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000	Feb05	Feb05	
57150	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		Feb05	
57155	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT11	30
57155	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	30
57155	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	30
57155	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000		CPT11	30
57155	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000		CPT11	30
57155	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT11	30
57155	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		CPT11	30
57155	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	30
57155	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT11	30
57155	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	30
57155	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000		CPT11	30
57156	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT11	30
57156	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	30
57156	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000		CPT11	30
57156	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		000		CPT11	30
57156	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT11	30
57156	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		CPT11	30
57156	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	30
57156	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT11	30
57156	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT11	30
57156	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		000		CPT11	30
57156	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		000		CPT11	30
57160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57160	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57160	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57170	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
57170	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000		Feb05	
57180	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
57180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
57180	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010		Feb05	
57180	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010		Feb05	
57180	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Feb05	
57180	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Feb05	
57180	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		010		Feb05	
57180	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		010		Feb05	
57180	RUC	"Wound Care, Dressings"	SG092	"packing, gauze, plain, 1 in (5 yd uou)"	item	6.17	1		010		Feb05	
57180	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010		Feb05	
57180	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		010		Feb05	
57180	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	45		010		Feb05	
57180	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		010		Feb05	
57180	RUC	Infection Control	SM003	autoclave tape	yd	0.092	1		010		Feb05	
57200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57200	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57200	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57200	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57210	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57210	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57210	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57210	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57220	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57220	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57220	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57230	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57230	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57230	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57240	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57240	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57240	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57250	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57250	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57250	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57260	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57260	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57265	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57265	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57265	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57268	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57268	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57268	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57268	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57270	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57270	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57280	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57280	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57280	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
57282	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090			
57282	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57282	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
57283	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57283	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57283	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83		2	090			
57284	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	E*
57284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT08	E*
57284	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		CPT08	E*
57284	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		CPT08	E*
57285	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	E
57285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT08	E
57285	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		CPT08	E
57285	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		CPT08	E
57287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Feb08	ss
57287	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		4	090		Feb08	ss
57287	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Sep02	
57287	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090			ss
57288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT12	5 Year
57288	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Feb08	ss
57288	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Feb08	ss
57288	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Feb08	ss
57289	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
57289	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090			
57289	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57289	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
57291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57291	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57291	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57291	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57292	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57292	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57292	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57292	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57295	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
57295	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		RUC05	
57295	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		RUC05	
57295	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		RUC05	
57296	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT07	
57296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT07	
57296	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		CPT07	
57296	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		CPT07	
57300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
57300	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090			
57300	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57300	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
57305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
57305	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090			
57305	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57305	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57307	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57307	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57307	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57307	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		4	090		Apr06	J
57307	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		15	090		Apr06	J
57308	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57308	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57308	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57308	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57310	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57310	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57310	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57310	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		PFS07	
57310	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
57310	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		PFS07	
57310	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		PFS07	
57311	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57311	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57311	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
57311	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57311	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		PFS07	
57311	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
57311	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		PFS07	
57311	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		PFS07	
57320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57320	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57320	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57320	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57320	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090		PFS07	
57320	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
57320	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		PFS07	
57320	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		20	090		PFS07	
57330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57330	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57330	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57330	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57330	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
57335	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57335	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57335	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57335	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57335	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		9	090		Apr06	J
57415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
57415	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
57415	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
57420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57420	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57420	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57420	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57420	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
57420	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
57420	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000			
57420	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57421	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57421	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57421	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57421	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57421	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
57421	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000			
57421	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	1		000			
57421	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
57421	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
57421	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
57421	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		000			
57421	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000			
57421	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000			
57421	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
57421	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57421	RUC	Infection Control	SM002	autoclave bag	item	0.07	2		000			
57421	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57423	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT08	E
57423	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT08	E
57423	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		CPT08	E
57423	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		CPT08	E
57425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
57425	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
57425	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
57425	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
57426	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090		CPT10	14
57426	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	14
57426	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		CPT10	14
57426	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT10	14
57452	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57452	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57452	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57452	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57452	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
57452	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
57452	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57454	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57454	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57454	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57454	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57454	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
57454	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
57454	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
57454	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57454	RUC	Infection Control	SM002	autoclave bag	item	0.07	2		000			
57454	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57455	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57455	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57455	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57455	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57455	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
57455	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
57455	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		000			
57455	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	3		000			
57455	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57455	RUC	Infection Control	SM002	autoclave bag	item	0.07	2		000			
57455	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57456	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57456	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57456	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57456	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57456	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
57456	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
57456	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		000			
57456	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
57456	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57456	RUC	Infection Control	SM002	autoclave bag	item	0.07	2		000			
57456	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57460	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57460	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57460	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57460	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
57460	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
57460	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
57460	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	1		000			
57460	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4		000			
57460	RUC	"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	7.383	1		000			
57460	RUC	"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	12.693	1		000			
57460	RUC	"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	40	1		000			
57460	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
57460	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
57460	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		000			
57460	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	20		000			
57460	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
57460	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		000			
57460	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000			
57460	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000			
57460	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000			
57460	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000			
57460	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57460	RUC	Infection Control	SM002	autoclave bag	item	0.07	2		000			
57460	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57461	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57461	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57461	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57461	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
57461	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
57461	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
57461	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	1		000			
57461	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	4		000			
57461	RUC	"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	7.383	1		000			
57461	RUC	"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	12.693	1		000			
57461	RUC	"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	40	1		000			
57461	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
57461	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
57461	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		000			
57461	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	20		000			
57461	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000			
57461	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	2		000			
57461	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000			
57461	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000			
57461	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000			
57461	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	3		000			
57461	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57461	RUC	Infection Control	SM002	autoclave bag	item	0.07	2		000			
57461	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57500	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57500	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57500	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000			
57500	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
57500	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000			
57500	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
57500	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
57500	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
57500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
57500	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2.1		000			
57500	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000			
57500	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	30		000			
57500	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	10		000			
57500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
57500	RUC	Lab	SL136	"stain, Lugol's"	ml	0.695	2		000			
57500	RUC	Infection Control	SM002	autoclave bag	item	0.07	1		000			
57500	RUC	Infection Control	SM003	autoclave tape	yd	0.092	0.67		000			
57505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57505	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57505	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57505	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57505	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57505	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
57505	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010			
57505	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57505	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
57505	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
57510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010			
57510	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		010			
57510	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		010			
57510	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57510	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
57510	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57510	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
57510	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
57510	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010			
57510	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57510	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
57511	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57511	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57511	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57511	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57511	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010			
57511	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57511	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
57511	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010			
57511	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57511	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	3		010			
57513	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57513	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57513	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57513	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
57513	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
57513	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010			
57513	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
57513	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	3		010			
57520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	7
57520	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2.5	1.5	090		Aug03	7
57520	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2.5	1.5	090		Aug03	7
57520	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		090		Aug03	7
57520	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		090		Aug03	7
57520	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	7
57520	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	7
57520	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1		090		Aug03	7
57520	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Aug03	7
57520	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		090		Aug03	7
57522	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	090		Aug03	7
57522	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	090		Aug03	7
57522	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2	1	090		Aug03	7
57522	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		090		Aug03	7
57522	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		090		Aug03	7
57522	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	7
57522	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Aug03	7
57522	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1		090		Aug03	7
57522	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Aug03	7
57522	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.117	3		090		Aug03	7
57530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57530	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57530	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57530	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57530	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57531	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57531	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57531	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57531	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57531	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57540	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57540	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57540	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57540	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57545	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57545	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57545	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57545	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57550	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57550	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57550	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57550	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57555	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57555	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57555	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57555	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57555	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090		Apr06	J
57555	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037		15	090		Apr06	J
57556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57556	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57556	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57556	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57556	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57558	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
57558	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
57558	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
57558	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
57700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
57700	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
57700	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
57700	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090		Apr06	J
57720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
57720	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
57720	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
57720	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
57720	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
57800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
57800	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
57800	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
57800	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
58100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
58100	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
58100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
58100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
58100	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.121	1		000			
58110	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.121	1		ZZZ		RUC05	
58120	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Apr06	J
58120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
58120	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
58120	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
58120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
58120	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Apr06	J
58120	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Apr06	J
58120	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		Apr06	J
58120	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		010		Apr06	J
58120	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		010		Apr06	J
58120	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		010		Apr06	J
58120	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		010		Apr06	J
58120	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010		Apr06	J
58120	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		010		Apr06	J
58140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58140	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58140	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58140	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58140	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58145	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58145	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58145	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58145	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58146	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58146	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58146	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58146	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58150	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58150	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58150	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58152	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58152	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1.5	090			
58152	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58152	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1.5	090			
58180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58180	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58180	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58180	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58200	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58200	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58200	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58210	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58210	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58210	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58210	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090		CPT07	
58240	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		6	090		CPT07	
58240	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT07	
58240	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		6	090		CPT07	
58260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58260	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58262	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
58262	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58262	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58263	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
58263	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58263	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58267	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58267	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2.5	090			
58267	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2.5	090			
58270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58270	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58275	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58275	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58280	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58280	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58285	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090			
58285	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090			
58290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58290	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58290	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58290	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58291	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58291	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58291	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58292	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58292	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58292	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58292	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58293	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58293	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58293	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58293	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58294	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58294	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58294	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58294	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Feb05	
58300	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		XXX		Feb05	
58300	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		XXX		Feb05	
58301	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
58301	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
58301	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
58301	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
58301	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
58301	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
58301	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
58301	RUC	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.54	1		000			
58301	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
58301	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
58301	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		000			
58301	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		000			
58301	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		000			
58301	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	4		000			
58301	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
58301	RUC	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.11	1		000			
58321	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
58321	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
58321	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
58321	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
58321	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
58321	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000			
58321	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
58321	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
58321	RUC	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.54	1		000			
58321	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		000			
58321	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000			
58321	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
58321	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
58322	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
58322	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
58322	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
58322	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
58322	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
58322	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000			
58322	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
58322	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
58322	RUC	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.54	1		000			
58322	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		000			
58322	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000			
58322	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		000			
58322	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
58323	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		000		Feb05	
58323	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000		Feb05	
58323	RUC	Lab	SL108	pipette	item	0.033	2		000		Feb05	
58323	RUC	Lab	SL122	"slide, microscope"	item	0.055	1		000		Feb05	
58323	RUC	Lab	SL143	test tube	item	0.273	5		000		Feb05	
58340	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000			
58340	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
58340	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000			
58340	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000			
58340	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		000			
58340	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	3		000			
58340	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		000			
58340	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000			
58340	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000			
58340	RUC	"Hypodermic, IV"	SC041	"needle, arterial (Seldinger)"	item	5.175	1		000			
58340	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000			
58340	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		000			
58340	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	3		000			
58340	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		000			
58340	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000			
58340	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
58345	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
58345	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
58345	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
58346	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58346	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58346	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58350	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
58350	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
58350	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
58350	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
58350	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	2		010			
58350	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010			
58350	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
58350	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010			
58350	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
58350	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
58353	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
58353	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
58353	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
58353	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
58353	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	2		010			
58353	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010			
58353	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
58353	RUC	"Accessory, Procedure"	SD018	"catheter, balloon, thermal ablation (Thermachoice)"	tray	727	1		010			
58353	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	30		010			
58353	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	55		010			
58353	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		010			
58356	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Aug03	5
58356	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
58356	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
58356	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
58356	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		010	88171		
58356	RUC	"Gown, Drape"	SB038	safety glasses	item	2.902	2		010			
58356	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010			
58356	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010	88170		
58356	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		010			
58356	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		010	43830		
58356	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.121	1		010			
58356	RUC	"Accessory, Procedure"	SD215	"probe, endometrial cryoablation (Her Option)"	item	1250	1		010			
58356	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010	88170		
58356	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		010			
58356	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		010			
58356	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		010			
58356	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.009	100		010			
58356	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		010			
58356	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		010			
58400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58400	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58400	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58400	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58400	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58410	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58410	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58410	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58410	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58520	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58520	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58520	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58520	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58540	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58540	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58540	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58540	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58541		"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58541	May 2014	May 42
58541	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58541	May 2014	May 42
58541		"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58541	May 2014	May 42
58541	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58541	May 2014	May 42
58542	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58542	May 2014	May 42
58542	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58542	May 2014	May 42
58542	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58542	May 2014	May 42
58542	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58542	May 2014	May 42
58543	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58543	May 2014	May 42
58543	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58543	May 2014	May 42
58543	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58543	May 2014	May 42
58543	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58543	May 2014	May 42
58544	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58544	May 2014	May 42
58544	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58544	May 2014	May 42
58544	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58544	May 2014	May 42
58544	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58544	May 2014	May 42
58545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58545	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58545	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58546	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58546	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58546	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58548	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
58548	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		CPT07	
58548	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT07	
58548	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT07	
58550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58550	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58550	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58552	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58552	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58552	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
58553	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58553	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58554	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58554	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58554	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58555	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT10	47
58555	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Apr06	J
58555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Apr06	J
58555	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000		Apr06	J
58555	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT10	47
58555	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		CPT10	47
58555	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		Apr06	J
58555	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT10	47
58555	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT10	47
58555	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		CPT10	47
58555	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		Apr06	J
58555	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Apr06	J
58555	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		CPT10	47
58555	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		000		Apr06	J
58555	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		Apr06	J
58555	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	10		000		CPT10	47
58555	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000		Apr06	J
58558	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT10	47
58558	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Apr06	J
58558	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Apr06	J
58558	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000		Apr06	J
58558	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT10	47
58558	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		CPT10	47
58558	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		Apr06	J
58558	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT10	47
58558	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT10	47
58558	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		CPT10	47
58558	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		Apr06	J
58558	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Apr06	J
58558	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		CPT10	47
58558	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Apr06	J
58558	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		000		Apr06	J
58558	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		000		Apr06	J
58558	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		000		Apr06	J
58558	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		Apr06	J
58558	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	10		000		CPT10	47
58558	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000		Apr06	J
58558	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		Apr06	J
58562	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT10	47
58562	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Apr06	J
58562	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Apr06	
58562	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000		Apr06	
58562	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT10	47
58562	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		CPT10	47
58562	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		Apr06	
58562	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT10	47
58562	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000		CPT10	47
58562	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		Apr06	J
58562	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Apr06	J
58562	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		CPT10	47
58562	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		000		Apr06	J
58562	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		Apr06	J
58562	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	10		000		CPT10	47
58562	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000			
58563	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		000		CPT10	47
58563	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
58563	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
58563	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		000		CPT10	47
58563	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
58563	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT10	47
58563	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
58563	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		000			
58563	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	2		000			
58563	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
58563	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		000			
58563	RUC	"Accessory, Procedure"	SD177	"hysteroscope, ablation device"	item	1146	1		000			
58563	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		000			
58563	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	20		000			
58563	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	4		000		Aug03	6
58563	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		000			
58563	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		Mar03	12
58563	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.297	10		000			
58563	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	4		000			
58563	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	2		000			
58563	RUC	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.15	1		000			
58563	RUC	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.11	1		000			
58565	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	1		090			
58565	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090			
58565	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	3	2	090			
58565	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	24.685	1		090			
58565	RUC	"Kit, Pack, Tray"	SA075	"kit, hysteroscopic tubal implant for sterilization"	kit	1245	1		090			
58565	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		090			
58565	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090			
58565	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090			
58565	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		090			
58565	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
58565	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		090			
58565	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.726	1		090			
58565	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
58565	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090			
58565	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	3		090			
58570	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58570	May 2014	May 42
58570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58570	May 2014	May 42
58570	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58570	May 2014	May 42
58570	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58570	May 2014	May 42
58571	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58571	May 2014	May 42
58571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58571	May 2014	May 42
58571	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58571	May 2014	May 42
58571	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58571	May 2014	May 42
58572	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58572	May 2014	May 42
58572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58572	May 2014	May 42
58572	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58572	May 2014	May 42
58572	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58572	May 2014	May 42
58573	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	58573	May 2014	May 42
58573	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	58573	May 2014	May 42
58573	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090	58573	May 2014	May 42
58573	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090	58573	May 2014	May 42
58600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58600	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
58600	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58600	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
58600	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090		Apr06	J
58605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58605	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
58605	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58605	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
58605	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090		Apr06	J
58615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
58615	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
58615	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	010			
58615	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
58660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58660	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
58660	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58660	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
58660	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58661	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	010			
58661	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
58661	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	010			
58661	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	010			
58662	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58662	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
58662	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58662	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
58662	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58670	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58670	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
58670	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58670	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
58670	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58671	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58671	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58671	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58671	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
58671	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090			
58672	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58672	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
58672	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58672	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
58672	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58673	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
58673	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
58673	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58673	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
58673	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58700	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58700	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58700	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58720	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58720	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58720	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58720	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58740	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58740	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58740	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58740	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58750	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58750	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58750	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58750	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58752	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58752	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58752	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58752	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58752	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58760	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58760	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58760	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58760	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58770	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58770	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58770	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58770	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58770	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	7
58800	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2.5	1.5	090		Aug03	7
58800	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2.5	1.5	090		Aug03	7
58800	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	3		090		Aug03	7
58800	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	2		090		Aug03	7
58800	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	7
58800	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		090		Aug03	7
58800	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090		Aug03	7
58800	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		090		Aug03	7
58805	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58805	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58805	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58805	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58805	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58820	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58820	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58820	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58820	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58822	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58822	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58822	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58822	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58822	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58825	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58825	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58825	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58825	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58900	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58900	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58900	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58900	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58920	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58920	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58920	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58920	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58925	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58925	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58925	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58925	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58925	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58940	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58940	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58940	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58940	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58940	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
58943	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58943	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58943	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58943	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58943	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		9	090		Apr06	J
58950	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
58950	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
58950	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58950	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
58950	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		9	090		Apr06	J
58951	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58951	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58951	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58951	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58951	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		9	090		Apr06	J
58952	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
58952	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
58952	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58952	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
58952	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		9	090		Apr06	J
58953	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58953	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58953	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58953	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58954	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58954	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
58954	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
58954	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090			
58956	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
58956	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090			
58956	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
58956	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83		1	090			
58957	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
58957	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		CPT07	
58957	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT07	
58957	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT07	
58958	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT07	
58958	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		CPT07	
58958	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT07	
58958	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		CPT07	
58960	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
58960	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
58960	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
58960	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
58960	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		9	090		Apr06	J
58970	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
58970	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
58970	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
58970	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
58970	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1.5		000			
58970	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
58970	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
58976	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
58976	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
58976	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
58976	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
58976	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1.5		000			
58976	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
58976	RUC	"Accessory, Procedure"	SD025	"catheter, intrauterine insemination"	item	7.1	1		000			
59000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
59000	RUC	"Kit, Pack, Tray"	SA059	"tray, amniocentesis"	tray	19.423	1		000			
59000	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
59000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
59015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
59015	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
59015	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
59020	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000			
59020	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
59020	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
59020	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000			
59020	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
59020	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000			
59020	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
59020	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.226	1		000			
59020	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
59020	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	150		000			
59020	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		000			
59025	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
59025	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
59025	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	150		000			
59025	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		000			
59070	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
59070	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000			
59070	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	3		000			
59070	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
59070	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	2		000			
59070	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
59070	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000			
59070	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
59070	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
59070	RUC	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	11.88	1		000			
59070	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
59070	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
59070	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		000			
59070	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
59074	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
59074	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000			
59074	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	3		000			
59074	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
59074	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	2		000			
59074	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000			
59074	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000			
59074	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
59074	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
59074	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
59074	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		000			
59074	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
59100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59100	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59100	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59100	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
59120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59120	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59120	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59120	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59120	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
59121	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59121	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59121	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59121	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59121	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
59130	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59130	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59130	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59130	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59130	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
59135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59135	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59135	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59135	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59135	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
59136	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59136	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59136	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59136	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59136	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		5	090		Apr06	J
59140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1.5	090		Aug03	7
59140	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1.5	090		Aug03	7
59140	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1.5	090		Aug03	7
59140	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83		1.5	090		Aug03	7
59150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59150	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59150	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59150	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59150	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		8	090		Apr06	J
59151	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
59151	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59151	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59151	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090		Apr06	J
59160	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Feb05	
59160	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		Feb05	
59160	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010		Feb05	
59160	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		010		Feb05	
59160	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		010		Feb05	
59160	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		010	Feb05	Feb05	
59160	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		010	Feb05	Feb05	
59160	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		010		Feb05	
59160	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	100		010		Feb05	
59160	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		Feb05	
59160	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010		Feb05	
59200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
59200	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
59200	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
59200	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
59200	RUC	"Pharmacy, Rx"	SH045	Laminaria tent	item	3.583	3		000			
59200	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		000			
59200	RUC	Infection Control	SM003	autoclave tape	yd	0.092	1		000			
59300	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Feb05	
59300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb05	
59300	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000		Feb05	
59300	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		Feb05	
59300	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Feb05	
59300	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		Feb05	
59300	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		000		Feb05	
59300	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000		Feb05	
59300	RUC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	4.023	0.4		000		Feb05	
59300	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	15		000		Feb05	
59300	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	0.5		000		Feb05	
59300	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	45		000		Feb05	
59300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		Feb05	
59400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		14	MMM			
59400	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	MMM			
59400	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	MMM			
59400	RUC	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.257		13	MMM			
59400	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013		650	MMM			
59400	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087		13	MMM			
59410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	MMM		CPT11	MD Time
59410	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	MMM		CPT11	MD Time
59425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5		MMM			
59425	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		MMM			
59425	RUC	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.257	5		MMM			
59425	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	250		MMM			
59425	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	5		MMM			
59426	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	10		MMM			
59426	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		MMM			
59426	RUC	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.257	10		MMM			
59426	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	500		MMM			
59426	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	10		MMM			
59430	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		MMM		CPT11	MD Time
59430	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2		MMM		CPT11	MD Time
59430	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		MMM		CPT11	MD Time
59430	RUC	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.54	2		MMM		CPT11	MD Time
59430	RUC	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.257	2		MMM		CPT11	MD Time
59430	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	100		MMM		CPT11	MD Time
59430	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	2		MMM		CPT11	MD Time
59510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		15	MMM		CPT11	MD Time
59510	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	MMM			
59510	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	MMM			
59510	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	MMM			
59510	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	MMM			
59510	RUC	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.257		13	MMM			
59510	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013		650	MMM			
59510	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087		13	MMM			
59515	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	MMM		CPT11	MD Time
59515	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	MMM		CPT11	MD Time
59515	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	MMM		CPT11	MD Time
59610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		14	MMM			
59610	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	MMM			
59610	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	MMM			
59610	RUC	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.257		13	MMM			
59610	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013		650	MMM			
59610	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087		13	MMM			
59618	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		15	MMM		CPT11	MD Time
59618	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	MMM		CPT11	MD Time
59618	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	MMM		CPT11	MD Time
59618	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	MMM		CPT11	MD Time
59618	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066		4	MMM		CPT11	MD Time
59618	RUC	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.257		12	MMM		CPT11	MD Time
59618	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013		600	MMM		CPT11	MD Time
59618	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087		12	MMM		CPT11	MD Time
59622	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	MMM			
59622	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	MMM			
59622	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	MMM		CPT11	MD Time
59812	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	090		Apr06	J
59812	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	090		Apr06	J
59812	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	090		Apr06	J
59812	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	090		Apr06	J
59812	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Apr06	J
59812	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Apr06	J
59812	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Apr06	J
59812	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Apr06	J
59812	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		090		Apr06	J
59812	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Apr06	J
59812	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		090		Apr06	J
59812	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Apr06	J
59820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Aug03	7
59820	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	3	2	090		Aug03	7
59820	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	3	2	090		Aug03	7
59820	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	7
59820	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	7
59820	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	7
59820	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	7
59820	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		090		Aug03	7
59820	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		090		Aug03	7
59820	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Aug03	7
59820	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Aug03	7
59820	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		090		Aug03	7
59820	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Aug03	7
59821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Aug03	7
59821	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2.5	1.5	090		Aug03	7
59821	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	2.5	1.5	090		Aug03	7
59821	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Aug03	7
59821	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Aug03	7
59821	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Aug03	7
59821	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Aug03	7
59821	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		090		Aug03	7
59821	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		090		Aug03	7
59821	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		090		Aug03	7
59821	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		090		Aug03	7
59821	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		090		Aug03	7
59821	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Aug03	7
59830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
59830	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090			
59830	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
59830	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
59840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
59840	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
59840	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
59841	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
59841	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	2	1	010			
59841	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2	1	010			
59841	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010			
59841	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		010			
59841	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.273	1		010			
59841	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.121	1		010			
59841	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		010			
59841	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010			
59841	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50		010			
59841	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
59850	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
59850	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
59850	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
59850	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090		Apr06	J
59851	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
59851	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		2	090		Apr06	J
59851	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		2	090		Apr06	J
59851	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090		Apr06	J
59852	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
59852	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		3	090		Apr06	J
59852	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59852	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090		Apr06	J
59852	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090		Apr06	J
59855	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
59855	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
59855	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59855	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
59855	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090		Apr06	J
59856	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
59856	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
59856	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
59856	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090		Apr06	J
59857	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr06	J
59857	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		1	090		Apr06	J
59857	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090		Apr06	J
59857	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090		Apr06	J
59870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
59870	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172		4	090		Apr06	J
59870	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		Apr06	J
59870	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		4	090		Apr06	J
59870	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		4	090		Apr06	J
60000	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	2	1	010			
60000	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1	1	010			
60000	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		010			
60000	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2	2	010			
60000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	010			
60000	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1	1	010			
60000	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1	1	010			
60000	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
60000	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		010			
60000	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
60000	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010			
60000	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2	010			
60000	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	4	4	010			
60000	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		010			
60000	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2	2	010			
60000	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6	3	010			
60000	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010			
60000	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1	1	010			
60000	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	3		010			
60000	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		010			
60000	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1	1	010			
60000	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	60	60	010			
60000	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		010			
60000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4	2	010			
60000	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32	1	1	010			
60000	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1	1	010			
60100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
60100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
60100	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
60100	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
60100	RUC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	8.375	1		000			
60100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
60100	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000			
60100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
60200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
60200	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60200	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60200	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60200	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60200	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60200	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60200	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60210	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60210	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60210	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60210	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60210	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60210	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60210	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60210	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60212	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60212	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60212	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60212	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60212	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60212	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60212	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60212	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60220	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60220	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60220	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60220	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60220	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60220	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60225	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
60225	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60225	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60225	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60225	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60225	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60225	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60225	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60240	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60240	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60240	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60240	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60240	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60240	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60240	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60252	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60252	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60252	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60252	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60252	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60252	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60252	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60252	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60254	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60254	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60254	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60254	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60254	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60254	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60254	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60254	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60260	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60260	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60260	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60260	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60260	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60270	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60270	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60270	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60270	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60270	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60270	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60271	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60271	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60271	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60271	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60271	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60271	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60271	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
60280	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60280	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60280	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60280	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60280	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60280	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60280	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
60281	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60281	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60281	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60281	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60281	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60281	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60281	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60300	RUC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		000		CPT08	rn
60300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT08	rn
60300	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT08	rn
60300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000		CPT08	rn
60300	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT08	rn
60300	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		CPT08	rn
60300	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		CPT08	rn
60300	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT08	rn
60300	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000		CPT08	rn
60300	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		000		CPT08	rn
60300	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT08	rn
60300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT08	rn
60300	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		000		CPT08	rn
60300	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000		CPT08	rn
60500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60500	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60500	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60500	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60500	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60500	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60502	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
60502	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60502	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60502	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60502	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60502	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60502	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090		Apr06	J
60505	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60505	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60505	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60505	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60505	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60505	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60505	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60520	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60520	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60520	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60520	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60520	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60521	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60521	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60521	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60521	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60521	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60521	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60521	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60521	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60522	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
60522	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60522	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60522	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60522	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60522	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60522	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60522	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
60540	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60540	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60540	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60540	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60540	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60540	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
60545	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
60545	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60545	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60545	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60545	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60545	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60545	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60600	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
60600	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		1	090			
60600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090			
60600	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		1	090			
60600	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		20	090			
60600	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		180	090			
60600	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		1	090			
60605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60605	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Apr06	J
60605	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5		4	090			
60605	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		32	090			
60605	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		8	090			
60605	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090			
60605	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090			
60605	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
60605	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
60605	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		8	090			
60605	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		3	090			
60605	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012		4	090			
60650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
60650	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	50546		
61105	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
61105	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61108	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61108	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61120	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61140	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61150	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61150	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61151	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61151	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61154	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61154	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61156	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61156	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61215	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61250	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61253	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61253	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61304	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61304	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61305	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61312	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61312	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61313	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61313	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61314	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61314	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61315	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61315	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61320	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61321	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61321	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61322	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61323	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61330	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61332	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61332	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61333	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61333	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61340	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61340	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
61343	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61343	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61343	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61345	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61345	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61345	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61450	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61450	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61458	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61458	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61458	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61460	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61460	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61460	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61480	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61480	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61480	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61500	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61500	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61501	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61501	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61501	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
61510	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61510	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61512	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61512	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61512	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61514	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61514	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61514	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61516	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61516	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61516	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61518	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
61518	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61518	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61519	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61519	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61519	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
61520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61520	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61521	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61521	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61521	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61522	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61522	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61522	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61524	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61524	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61524	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61526	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61526	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61526	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61530	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61530	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61531	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61531	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61531	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61533	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61533	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61533	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61534	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61534	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61534	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61535	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61535	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61535	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61536	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61536	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61536	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61537	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
61537	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61538	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61538	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61538	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61539	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61539	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61539	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61540	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61541	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61541	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61541	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61543	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61543	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61543	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61544	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61544	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61544	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61545	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
61545	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61545	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61546	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61546	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61546	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61548	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61548	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61548	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61550	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61550	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61552	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61552	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61552	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61556	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61556	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61557	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61557	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61557	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61558	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61558	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61558	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61559	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
61559	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61559	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61563	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61563	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61563	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61564	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61564	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61564	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61566	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61566	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61567	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61567	RUC	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1	090			
61570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61570	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61570	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61571	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61571	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61575	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61575	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61575	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61576	RUC	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090		Jan04	21
61576	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
61576	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Jan04	21
61576	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
61576	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Jan04	21
61576	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Jan04	21
61576	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Jan04	21
61576	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Jan04	21
61576	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
61576	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
61576	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2	090		Jan04	21
61576	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Jan04	21
61576	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Jan04	21
61576	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		12	090		Jan04	21
61576	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090		Jan04	21
61576	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		8	090		Jan04	21
61576	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Jan04	21
61576	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Jan04	21
61576	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Jan04	21
61576	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090		Jan04	21
61576	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
61580	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61580	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
61580	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61580	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
61580	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		5	090			
61580	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
61580	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090			
61580	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		5	090			
61580	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		5	090			
61580	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61580	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
61580	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61580	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61580	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		20	090			
61580	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61580	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		5	090			
61580	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61580	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61580	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61580	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090			
61580	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		5	090			
61580	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2.5	090			
61580	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090			
61580	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
61580	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
61580	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		5	090			
61580	RUC	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5	090			
61580	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61580	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090			
61580	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61580	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61580	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		10	090			
61580	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		5	090			
61580	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		10	090			
61581	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61581	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61581	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		6	090			
61581	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61581	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090			
61581	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		6	090			
61581	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		6	090			
61581	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		6	090			
61581	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		6	090			
61581	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		6	090			
61581	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61581	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		24	090			
61581	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61581	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61581	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		24	090			
61581	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61581	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
61581	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61581	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61581	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61581	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		6	090			
61581	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		6	090			
61581	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		3	090			
61581	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		30	090			
61581	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		6	090			
61581	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
61581	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		6	090			
61581	RUC	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		6	090			
61581	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61581	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		30	090			
61581	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61581	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61581	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		12	090			
61581	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		6	090			
61581	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		12	090			
61582	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61582	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61582	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
61582	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61582	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
61582	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		5	090			
61582	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
61582	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090			
61582	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		5	090			
61582	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		5	090			
61582	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61582	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
61582	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61582	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61582	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		20	090			
61582	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61582	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		5	090			
61582	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61582	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61582	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61582	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090			
61582	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		5	090			
61582	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2.5	090			
61582	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090			
61582	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
61582	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
61582	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		5	090			
61582	RUC	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5	090			
61582	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61582	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090			
61582	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61582	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61582	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		10	090			
61582	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		5	090			
61582	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		10	090			
61583	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61583	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61583	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61583	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61583	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61583	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61583	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61583	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61583	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61583	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61583	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61583	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61583	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61583	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61583	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61583	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61583	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61583	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61583	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61583	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61583	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61583	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		3	090			
61583	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		1.5	090			
61583	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61583	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61583	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61583	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090			
61583	RUC	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090			
61583	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61583	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61583	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61583	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61583	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		6	090			
61583	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		3	090			
61583	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		6	090			
61584	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61584	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61584	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61584	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61584	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61584	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61584	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61584	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61584	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61584	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61584	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61584	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61584	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61584	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61584	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61584	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61584	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61584	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61584	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61584	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61584	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61584	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		3	090			
61584	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		1.5	090			
61584	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61584	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61584	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61584	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090			
61584	RUC	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090			
61584	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61584	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61584	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61584	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61584	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		6	090			
61584	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		3	090			
61584	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		6	090			
61585	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61585	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61585	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61585	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61585	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61585	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61585	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61585	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61585	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61585	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61585	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61585	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61585	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61585	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61585	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61585	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61585	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61585	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61585	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61585	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61585	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		3	090			
61585	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		1.5	090			
61585	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61585	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61585	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61585	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		3	090			
61585	RUC	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090			
61585	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61585	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61585	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61585	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61585	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		6	090			
61585	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		3	090			
61585	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		6	090			
61586	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61586	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61586	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61586	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61586	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
61586	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		4	090			
61586	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
61586	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090			
61586	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		4	090			
61586	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090			
61586	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61586	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
61586	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61586	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61586	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		16	090			
61586	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61586	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
61586	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61586	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61586	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61586	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090			
61586	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035		4	090			
61586	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153		2	090			
61586	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090			
61586	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
61586	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
61586	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83		4	090			
61586	RUC	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		4	090			
61586	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61586	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090			
61586	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61586	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61586	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		8	090			
61586	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067		4	090			
61586	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		8	090			
61590	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61590	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61590	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
61590	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61590	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
61590	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		5	090			
61590	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
61590	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090			
61590	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		5	090			
61590	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		5	090			
61590	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61590	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
61590	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61590	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61590	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		20	090			
61590	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61590	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		5	090			
61590	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61590	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61590	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61590	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090			
61590	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090			
61590	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
61590	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
61590	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61590	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090			
61590	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61590	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61591	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61591	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61591	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
61591	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61591	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
61591	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		5	090			
61591	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
61591	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090			
61591	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		5	090			
61591	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		5	090			
61591	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61591	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
61591	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61591	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61591	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		20	090			
61591	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61591	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		5	090			
61591	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61591	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61591	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61591	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090			
61591	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090			
61591	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
61591	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
61591	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61591	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090			
61591	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61591	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61592	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61592	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61592	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61592	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61592	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
61592	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		4	090			
61592	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
61592	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090			
61592	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		4	090			
61592	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090			
61592	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61592	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
61592	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61592	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61592	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		16	090			
61592	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61592	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
61592	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61592	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61592	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61592	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090			
61592	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090			
61592	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
61592	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
61592	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61592	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090			
61592	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61592	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61595	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61595	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61595	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
61595	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61595	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
61595	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		5	090			
61595	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
61595	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090			
61595	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		5	090			
61595	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		5	090			
61595	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61595	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
61595	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61595	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61595	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		20	090			
61595	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61595	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		5	090			
61595	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61595	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61595	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61595	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090			
61595	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090			
61595	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
61595	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
61595	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61595	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090			
61595	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61595	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61596	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61596	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61596	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61596	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61596	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
61596	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		4	090			
61596	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
61596	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090			
61596	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		4	090			
61596	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090			
61596	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61596	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
61596	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61596	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61596	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		16	090			
61596	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61596	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
61596	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61596	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61596	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61596	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090			
61596	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090			
61596	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
61596	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
61596	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61596	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090			
61596	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61596	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61597	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61597	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61597	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61597	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61597	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61597	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61597	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61597	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61597	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61597	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61597	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61597	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61597	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61597	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61597	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61597	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61597	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61597	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61597	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61597	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61597	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61597	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61597	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61597	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61597	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61597	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61597	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61598	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61598	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61598	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61598	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61598	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
61598	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		4	090			
61598	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
61598	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090			
61598	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		4	090			
61598	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090			
61598	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61598	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
61598	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61598	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61598	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		16	090			
61598	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61598	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
61598	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61598	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61598	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61598	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090			
61598	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090			
61598	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
61598	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
61598	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61598	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090			
61598	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61598	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61600	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61600	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
61600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
61600	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		5	090			
61600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
61600	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090			
61600	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		5	090			
61600	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		5	090			
61600	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61600	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
61600	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61600	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61600	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		20	090			
61600	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61600	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		5	090			
61600	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61600	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61600	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61600	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090			
61600	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090			
61600	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
61600	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
61600	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61600	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090			
61600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61600	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61601	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61601	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61601	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61601	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
61601	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		4	090			
61601	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
61601	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090			
61601	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		4	090			
61601	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090			
61601	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61601	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
61601	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61601	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61601	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		16	090			
61601	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61601	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
61601	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61601	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61601	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61601	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090			
61601	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090			
61601	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
61601	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
61601	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61601	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090			
61601	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61601	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61605	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61605	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		5	090			
61605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61605	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090			
61605	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		5	090			
61605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090			
61605	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090			
61605	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		5	090			
61605	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		5	090			
61605	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61605	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		20	090			
61605	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61605	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61605	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		20	090			
61605	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61605	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		5	090			
61605	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61605	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61605	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61605	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090			
61605	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090			
61605	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090			
61605	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090			
61605	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61605	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090			
61605	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61605	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61606	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61606	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61606	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61606	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61606	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61606	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61606	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61606	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61606	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61606	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61606	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61606	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61606	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61606	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61606	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61606	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61606	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61606	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61606	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61606	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61606	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61606	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61606	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61606	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61606	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61606	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61606	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61607	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61607	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61607	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61607	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61607	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61607	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61607	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61607	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61607	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61607	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61607	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61607	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61607	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61607	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61607	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61607	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61607	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61607	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61607	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61607	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61607	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61607	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61607	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61607	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61607	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61607	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61607	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61607	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61608	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61608	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61608	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61608	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61608	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61608	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61608	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61608	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61608	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61608	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61608	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61608	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61608	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61608	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61608	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61608	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61608	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61608	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61608	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61608	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61608	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61608	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61608	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61608	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61608	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61608	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61608	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61608	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61613	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61613	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61613	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61613	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61613	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090			
61613	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		3	090			
61613	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090			
61613	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090			
61613	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		3	090			
61613	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		3	090			
61613	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61613	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		12	090			
61613	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61613	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61613	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		12	090			
61613	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61613	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		3	090			
61613	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61613	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61613	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61613	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090			
61613	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090			
61613	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090			
61613	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
61613	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61613	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090			
61613	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61613	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61615	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61615	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61615	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61615	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
61615	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		4	090			
61615	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
61615	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090			
61615	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		4	090			
61615	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090			
61615	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61615	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
61615	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61615	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61615	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		16	090			
61615	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61615	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
61615	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61615	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61615	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61615	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090			
61615	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090			
61615	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
61615	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
61615	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61615	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090			
61615	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61615	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61616	RUC	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090			
61616	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090			
61616	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
61616	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090			
61616	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090			
61616	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196		4	090			
61616	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090			
61616	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090			
61616	RUC	"Accessory, Procedure"	SD010	"canister, vacuum"	item	5.456		4	090			
61616	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961		4	090			
61616	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344		1	090			
61616	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007		16	090			
61616	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090			
61616	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		1	090			
61616	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		16	090			
61616	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090			
61616	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
61616	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090			
61616	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		2	090			
61616	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
61616	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090			
61616	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090			
61616	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090			
61616	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090			
61616	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		20	090			
61616	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090			
61616	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013		2	090			
61616	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090			
61618	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61618	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61618	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61619	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61619	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61619	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
61635	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090	88170	RUC05	
61680	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61680	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61680	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61682	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61682	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61682	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61684	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61684	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61684	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61686	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61686	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61686	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61690	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61690	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61690	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61692	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61692	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61692	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61697	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61697	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
61697	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61698	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61698	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
61698	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61700	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61700	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61702	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61702	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61703	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61703	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61703	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61705	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61705	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61708	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61708	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61708	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61710	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61710	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61711	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61711	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61711	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61720	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61720	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61735	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61735	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61735	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61750	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61750	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61751	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61751	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61751	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
61760	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61760	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61770	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61770	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61770	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61790	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61790	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61790	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61791	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61791	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61791	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61796	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT09	17
61798	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT09	17
61800	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	ZZZ		CPT09	17
61850	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61850	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61850	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61860	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61860	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61860	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61863	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61863	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
61867	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
61867	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
61870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61870	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61870	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
61880	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
61880	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61885	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	32
61885	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	32
61885	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
61886	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
61886	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	61885		
61886	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	61885		
61888	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010		Feb05	
61888	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	010		Feb05	
62000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62000	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62000	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62005	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62005	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
62010	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62010	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
62100	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62100	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62115	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
62115	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62115	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62117	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
62117	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62117	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62120	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Jan04	21
62120	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
62120	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
62120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		4	090		Jan04	21
62120	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
62120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
62120	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
62120	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
62120	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
62120	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		16	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
62120	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
62120	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
62120	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
62120	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
62120	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
62120	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
62120	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
62120	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
62121	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Jan04	21
62121	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
62121	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2	090		Jan04	21
62121	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Jan04	21
62121	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2	090		Jan04	21
62121	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
62121	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
62121	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Jan04	21
62121	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Jan04	21
62121	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
62121	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090		Jan04	21
62121	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090		Jan04	21
62121	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Jan04	21
62121	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Jan04	21
62121	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Jan04	21
62121	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		10	090		Jan04	21
62121	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
62121	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		2	090		Jan04	21
62140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62140	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62140	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62141	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62141	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62141	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62142	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62142	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62142	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62143	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62143	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62143	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62145	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62145	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62146	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62146	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62146	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62147	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62147	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62147	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62161	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
62161	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
62162	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
62162	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
62163	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
62163	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
62164	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
62164	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
62165	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
62165	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
62180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62180	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62180	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62190	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62190	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62192	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62192	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62192	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62194	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	010		Feb05	
62194	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	010		Feb05	
62200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62200	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62200	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62201	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
62201	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62201	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62220	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62220	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62223	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
62223	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62223	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62225	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62225	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62225	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62230	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62230	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62252	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
62256	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62256	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62256	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62258	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62258	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62258	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62263	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
62263	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	010		Feb08	cs
62263	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010			
62263	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		010			
62263	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	3		010			
62263	RUC	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10	1		010			
62263	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	6		010			
62263	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		010			
62263	RUC	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	62.275	1		010			
62263	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010			
62264	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
62264	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010			cs
62264	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		010			
62264	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		010			
62264	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	1		010			
62264	RUC	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10	1		010			
62264	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
62264	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010			
62264	RUC	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	62.275	1		010			
62264	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010			
62267	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT09	18
62267	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT09	18
62267	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT09	18
62267	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.477	1		000		CPT09	18
62267	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		000		CPT09	18
62267	RUC	Lab	SL262	Anerobic culture tube	item		1		000		CPT09	18
62270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
62270	RUC	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	18.552	1		000			
62270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
62270	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
62270	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
62270	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
62270	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	26.325	1		000			
62270	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
62270	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
62272	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
62272	RUC	"Kit, Pack, Tray"	SA068	"tray, spinal anesthesia"	tray	21.832	1		000			
62272	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
62272	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
62272	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
62272	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
62272	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000			
62272	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
62272	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
62272	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
62272	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	26.325	1		000			
62272	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
62272	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
62272	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
62272	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
62273	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
62273	RUC	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	18.552	1		000			
62273	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
62273	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
62273	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
62273	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
62273	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000			
62273	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
62273	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
62273	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
62273	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	5		000			
62273	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
62273	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000			
62273	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000			
62273	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
62280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		Jan04	5
62280	RUC	"Kit, Pack, Tray"	SA068	"tray, spinal anesthesia"	tray	21.832	1		010		Jan04	5
62280	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		Jan04	5
62280	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Jan04	5
62280	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Jan04	5
62280	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		Jan04	5
62280	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010		Jan04	5
62280	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Jan04	5
62280	RUC	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.059	10		010		Jan04	5
62281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		Jan04	5
62281	RUC	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	23.829	1		010		Jan04	5
62281	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		Jan04	5
62281	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Jan04	5
62281	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Jan04	5
62281	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		Jan04	5
62281	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010		Jan04	5
62281	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Jan04	5
62281	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Jan04	5
62281	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		010		Jan04	5
62281	RUC	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.059	10		010		Jan04	5
62282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		Jan04	5
62282	RUC	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	23.829	1		010		Jan04	5
62282	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		Jan04	5
62282	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		Jan04	5
62282	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Jan04	5
62282	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		Jan04	5
62282	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010		Jan04	5
62282	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		010		Jan04	5
62282	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		Jan04	5
62282	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		010		Jan04	5
62282	RUC	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.059	10		010		Jan04	5
62284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	62284	May 2014	May 21
62284		"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.869	1		000	62284	May 2014	May 21
62284	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	62284	May 2014	May 21
62284		"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.6	1		000	62284	May 2014	May 21
62287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
62287	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
62287	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
62290	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
62290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
62290	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
62290	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.477	1		000			
62290	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000			
62291	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
62291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
62291	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
62291	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000			
62292	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62294	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
62302	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	72240	May 2014	May 21
62302	RUC	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.869	1		000	72240	May 2014	May 21
62302	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	72240	May 2014	May 21
62302	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.6	1		000	72240	May 2014	May 21
62303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	72255	May 2014	May 21
62303	RUC	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.869	1		000	72255	May 2014	May 21
62303	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	72255	May 2014	May 21
62303	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.6	1		000	72255	May 2014	May 21
62304	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	72265	May 2014	May 21
62304	RUC	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.869	1		000	72265	May 2014	May 21
62304	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	72265	May 2014	May 21
62304	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.6	1		000	72265	May 2014	May 21
62305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	72270	May 2014	May 21
62305	RUC	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.869	1		000	72270	May 2014	May 21
62305	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	72270	May 2014	May 21
62305	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.6	1		000	72270	May 2014	May 21
62310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	5
62310	RUC	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	23.829	1		000		Jan04	5
62310	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	5
62310	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	5
62310	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Jan04	5
62310	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Jan04	5
62310	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	5
62311	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	5
62311	RUC	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	23.829	1		000		Jan04	5
62311	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	5
62311	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		Jan04	5
62311	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	5
62311	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Jan04	5
62311	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Jan04	5
62311	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	5
62318	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	5
62318	RUC	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	23.829	1		000		Jan04	5
62318	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	5
62318	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	5
62318	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Jan04	5
62318	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Jan04	5
62318	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	5
62319	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	5
62319	RUC	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	23.829	1		000		Jan04	5
62319	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Jan04	5
62319	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		000		Jan04	5
62319	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Jan04	5
62319	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Jan04	5
62319	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Jan04	5
62319	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		Jan04	5
62350	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr08	ss
62350	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	63780		
62350	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	63780		
62351	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
62351	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	63750		
62351	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	63750		
62355	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Feb08	ss
62355	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	61888		
62355	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	61888		
62360	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr08	ss
62360	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	63780		
62360	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	63780		
62361	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Feb08	ss
62361	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	63750		
62361	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	63750		
62362	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Feb08	ss
62362	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	63780		
62362	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090	63780		
62365	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Apr08	ss
62365	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
62367	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 15
62368	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 15
62369	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 15
62369	RUC	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	28	1		XXX		CPT12	May 15
62369	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT12	May 15
62369	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT12	May 15
62369	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT12	May 15
62369	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT12	May 15
62369	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		XXX		CPT12	May 15
62369	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 15
62369	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX		CPT12	May 15
62369	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT12	May 15
62370	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 15
62370	RUC	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	28	1		XXX		CPT12	May 15
62370	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT12	May 15
62370	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT12	May 15
62370	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT12	May 15
62370	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT12	May 15
62370	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		XXX		CPT12	May 15
62370	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 15
62370	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX		CPT12	May 15
62370	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT12	May 15
63001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
63001	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63003	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090			
63003	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63005	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63011	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63011	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63012	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63012	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63015	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63016	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63016	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63017	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63017	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63020	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63030	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63040	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63042	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63042	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63045	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63046	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63046	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63047	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT14	Mar 6
63047	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		CPT14	Mar 6
63050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63050	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
63051	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63051	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090			
63055	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63055	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63056	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63056	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63064	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63064	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63075	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63075	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63077	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63077	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63081	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63081	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63085	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63085	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63087	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63087	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63090	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090			
63090	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
63101	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
63101	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
63102	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
63102	RUC	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1	090			
63170	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63170	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63172	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
63172	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63173	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63173	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63180	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63182	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63182	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63185	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63185	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63190	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63191	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63191	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63194	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63194	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		2	090			
63195	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
63195	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63196	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63196	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63197	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63197	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63198	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63198	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63199	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63199	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63200	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63200	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63250	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63250	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63251	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63251	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63251	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63252	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63252	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63252	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63265	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63265	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63266	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63266	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63266	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63267	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63267	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63267	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63268	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63268	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63268	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63270	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63270	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63271	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63271	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63272	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63272	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63272	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63273	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63273	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63273	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63275	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63275	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63276	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63276	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63276	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63277	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63277	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63277	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63278	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63278	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63278	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63280	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63280	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63281	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63281	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63282	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63282	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63283	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63283	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63283	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63285	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63285	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63286	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63286	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63287	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63287	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63290	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63290	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63300	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63300	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63301	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63301	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63301	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63302	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63302	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63302	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63303	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63303	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63304	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63304	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63304	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63305	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63305	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63306	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63306	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63307	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63307	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
63615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
63620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT09	17
63650	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1		010		CPT14	May 35
63650	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		CPT14	May 35
63650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT14	May 35
63650	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT14	May 35
63650	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010		CPT14	May 35
63650	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		010		CPT14	May 35
63650	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		CPT14	May 35
63650	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		010		CPT14	May 35
63650	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		CPT14	May 35
63650	RUC	"Accessory, Procedure"	SD280	Trial lead kit	item	50	1		010		CPT14	May 35
63650	RUC	"Accessory, Procedure"	SD281	Trial lead array	item	500	1		010		CPT14	May 35
63650	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010		CPT14	May 35
63650	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2	2	010		CPT14	May 35
63650	RUC	"Pharmacy, Rx"	SH098	chlorhexidine 4.0% (Hibiclens)	oz		1		010		CPT14	May 35
63655	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	33
63655	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	33
63661	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		CPT10	33
63661	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT10	33
63661	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT10	33
63661	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT10	33
63661	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT10	33
63661	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT10	33
63661	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		010		CPT10	33
63661	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		CPT10	33
63661	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		CPT10	33
63661	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT10	33
63661	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT10	33
63661	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT10	33
63661	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		CPT10	33
63661	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		CPT10	33
63661	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		010		CPT10	33
63662	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	33
63662	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	33
63663	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		CPT10	33
63663	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT10	33
63663	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT10	33
63663	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	010		CPT10	33
63663	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		010		CPT10	33
63663	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		CPT10	33
63663	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		010		CPT10	33
63663	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010		CPT10	33
63663	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010		CPT10	33
63663	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010		CPT10	33
63663	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010		CPT10	33
63663	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		CPT10	33
63663	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		CPT10	33
63663	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		CPT10	33
63663	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		010		CPT10	33
63664	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		CPT10	33
63664	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT10	33
63685	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Feb08	ss
63685	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63685	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63688	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090		Feb08	ss
63688	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63688	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63700	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63700	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
63702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63702	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63702	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
63704	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
63704	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63704	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
63706	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
63706	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63706	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		4	090			
63707	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63707	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63707	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63709	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63709	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63709	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63710	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63710	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
63740	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63740	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63741	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
63741	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63741	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63744	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
63744	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63744	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
63746	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
63746	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
63746	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64400	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64400	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64400	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64400	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64402	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64402	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64402	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64402	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64402	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64405	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000			
64405	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
64405	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		000			
64405	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000	64721		
64405	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
64405	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000			
64405	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64405	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		000			
64405	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000			
64405	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64405	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000			
64405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
64408	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64408	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64408	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64408	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64408	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64410	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64410	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64410	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64410	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000			
64410	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64412	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64412	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64412	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64412	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000			
64412	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64413	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64413	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64413	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64413	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64413	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64415	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT11	56
64415	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000		CPT11	56
64415	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	30		000		CPT11	56
64417	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64417	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64417	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		000			
64417	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000			
64417	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		000			
64418	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64418	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64418	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000			
64418	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000			
64418	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		000			
64420	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64420	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64420	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64420	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64421	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64421	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64421	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	3		000			
64421	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
64421	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64425	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64425	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64425	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64425	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64430	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64430	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64430	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
64430	RUC	"Hypodermic, IV"	SC040	"needle, Kopan"	item	18.75	1		000			
64430	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64430	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64435	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64435	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64435	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		000			
64435	RUC	"Hypodermic, IV"	SC040	"needle, Kopan"	item	18.75	1		000			
64435	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64435	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64445	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT11	56
64445	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000		CPT11	56
64445	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	30		000		CPT11	56
64447	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT11	56
64447	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000		CPT11	56
64447	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	30		000		CPT11	56
64450	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64450	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
64450	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64455	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000		CPT09	20
64455	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT09	20
64455	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT09	20
64455	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT09	20
64455	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT09	20
64455	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT09	20
64455	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		000		CPT09	20
64455	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT09	20
64455	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT09	20
64479	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT11	33
64479	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	33
64479	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	33
64479	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT11	33
64479	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT11	33
64479	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000		CPT11	33
64480	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ		CPT11	33
64483	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT11	33
64483	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	33
64483	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT11	33
64483	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT11	33
64483	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT11	33
64483	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		000		CPT11	33
64484	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ		CPT11	33
64486		"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000	64447	May 2014	May 22
64486	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	64447	May 2014	May 22
64486	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000	64447	May 2014	May 22
64486	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000	64447	May 2014	May 22
64486	Invoice		SC101	ultrasound needle		12.81	1		000	64447	May 2014	May 22
64486		"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		000	64447	May 2014	May 22
64486	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	2		000	64447	May 2014	May 22
64487	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000	64447	May 2014	May 22
64487	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	64447	May 2014	May 22
64487	Invoice		SA116	continuous peripheral nerve block tray		23.69	1		000	64447	May 2014	May 22
64487	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000	64447	May 2014	May 22
64487		"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000	64447	May 2014	May 22
64487	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		000	64447	May 2014	May 22
64487	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	2		000	64447	May 2014	May 22
64488	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000	64447	May 2014	May 22
64488	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	64447	May 2014	May 22
64488	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000	64447	May 2014	May 22
64488	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000	64447	May 2014	May 22
64488	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		000	64447	May 2014	May 22
64488	RUC		SC101	ultrasound needle		12.81	1		000	64447	May 2014	May 22
64488	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	40		000	64447	May 2014	May 22
64488	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		000	64447	May 2014	May 22
64489	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000	64447	May 2014	May 22
64489	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	64447	May 2014	May 22
64489	RUC		SA116	continuous peripheral nerve block tray		23.69	2		000	64447	May 2014	May 22
64489	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		000	64447	May 2014	May 22
64489	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000	64447	May 2014	May 22
64489	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	2		000	64447	May 2014	May 22
64489	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	40		000	64447	May 2014	May 22
64489	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		000	64447	May 2014	May 22
64490	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT10	34
64490	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	34
64490	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT10	34
64490	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT10	34
64490	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT10	34
64490	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	3		000		CPT10	34
64491	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ		CPT10	34
64491	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	3		ZZZ		CPT10	34
64492	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ		CPT10	34
64492	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		ZZZ		CPT10	34
64492	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	3		ZZZ		CPT10	34
64493	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT10	34
64493	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT10	34
64493	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT10	34
64493	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000		CPT10	34
64493	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		CPT10	34
64493	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000		CPT10	34
64494	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ		CPT10	34
64494	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		ZZZ		CPT10	34
64495	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		ZZZ		CPT10	34
64495	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		ZZZ		CPT10	34
64495	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		ZZZ		CPT10	34
64505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	000			
64505	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64505	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000			
64505	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		000			
64510	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	000			
64510	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64510	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000			
64510	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		000			
64517	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64517	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
64517	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.477	1		000			
64517	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000			
64517	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000			
64517	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	20		000			
64517	RUC	"Pharmacy, Rx"	SH060	renographin-60	ml	0.38	1		000			
64520	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	000			
64520	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64520	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000			
64520	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		000			
64530	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
64530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	000			
64530	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		000			
64530	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000			
64530	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	10		000			
64550	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
64550	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
64550	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
64550	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.016	1		000			
64550	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
64550	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		000			
64553	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
64553	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64553	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
64553	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
64555	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
64555	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64555	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010			
64555	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
64555	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		010			
64555	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
64561	Invoice	"Kit, Pack, Tray"	SA022	"kit, percutaneous neuro test stimulation"	kit	420	1		010	64561	March 2014	March 5
64561	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010	64561	March 2014	March 5
64561		"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010	64561	March 2014	March 5
64561	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	40		010	64561	March 2014	March 5
64565	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
64565	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64565	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64565	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
64565	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
64566	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	11
64566	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	11
64566	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT11	11
64566	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	11
64566	RUC	"Accessory, Procedure"	SD246	urgent PC lead	item	65	1		000		CPT11	11
64566	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT11	11
64566	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	10		000		CPT11	11
64566	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT11	11
64568	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	32
64568	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	32
64569	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	32
64569	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	32
64570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		CPT11	32
64570	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		CPT11	32
64575	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64575	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64575	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64580	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64580	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64581	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	090			
64581	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
64585	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			cs
64585	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
64585	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
64585	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		010			
64585	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
64585	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
64585	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010			
64585	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010			
64585	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
64585	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
64585	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
64585	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
64585	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
64585	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
64585	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
64585	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
64585	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
64585	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
64585	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
64585	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	5		010			
64585	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010			
64585	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
64585	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
64585	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
64585	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
64585	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010			
64585	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010			
64590	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			cs
64590	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
64590	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
64590	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		010			
64590	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
64590	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
64590	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010			
64590	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010			
64590	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
64590	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
64590	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
64590	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
64590	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
64590	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
64590	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
64590	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
64590	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
64590	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
64590	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
64590	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	5		010			
64590	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010			
64590	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
64590	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
64590	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
64590	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
64590	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010			
64590	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010			
64595	RUC	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	26.118	1		010			
64595	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			cs
64595	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056	1	1	010			
64595	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010			
64595	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010			
64595	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010			
64595	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010			
64595	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010			
64595	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010			
64595	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
64595	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
64595	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
64595	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		010			
64595	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		010			
64595	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
64595	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
64595	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
64595	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
64595	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010			
64595	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	5		010			
64595	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		010			
64595	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		010			
64595	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		010			
64595	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010			
64595	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	0.99	1		010			
64595	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.95	1		010			
64595	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010			
64600	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64600	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	25	1		010			
64600	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
64605	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64605	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	25	1		010			
64605	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
64610	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64610	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	25	1		010			
64610	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
64611	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010		CPT11	12
64611	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		010		CPT11	12
64611	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		CPT11	12
64611	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	4		010		CPT11	12
64611	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		CPT11	12
64611	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		010		CPT11	12
64611	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		010		CPT11	12
64611	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		010		CPT11	12
64611	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	2		010		CPT11	12
64612	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		CPT13	May 19
64612	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT13	May 19
64612	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2	1	010		CPT13	May 19
64612	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010		CPT13	May 19
64612	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		CPT13	May 19
64612	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010		CPT13	May 19
64612	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	3		010		CPT13	May 19
64615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		CPT13	May 19
64615	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		CPT13	May 19
64615	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	6		010		CPT13	May 19
64615	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	6		010		CPT13	May 19
64615	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	2		010		CPT13	May 19
64615	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		010		CPT13	May 19
64615	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		010		CPT13	May 19
64615	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		010		CPT13	May 19
64615	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	3		010		CPT13	May 19
64616	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 14
64616	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT14	May 14
64616	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	9		000		CPT14	May 14
64616	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000		CPT14	May 14
64616	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	3		000		CPT14	May 14
64616	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		000		CPT14	May 14
64616	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		000		CPT14	May 14
64616	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		000		CPT14	May 14
64616	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	3		000		CPT14	May 14
64617	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 14
64617	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT14	May 14
64617	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		CPT14	May 14
64617	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		000		CPT14	May 14
64617	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT14	May 14
64617	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		000		CPT14	May 14
64617	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		000		CPT14	May 14
64617	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		CPT14	May 14
64617	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		000		CPT14	May 14
64617	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT14	May 14
64617	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		000		CPT14	May 14
64617	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	6		000		CPT14	May 14
64617	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		000		CPT14	May 14
64617	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	1		000		CPT14	May 14
64620	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64620	RUC	"Accessory, Procedure"	SD083	"gas, nitrous oxide"	liter	0.007	1		010			
64630	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64630	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	1.172	1		010			
64630	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		010			
64630	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
64630	RUC	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.059	10		010			
64632	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		CPT09	20
64632	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010		CPT09	20
64632	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		CPT09	20
64632	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		010		CPT09	20
64632	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT09	20
64632	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		010		CPT09	20
64632	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		CPT09	20
64632	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		010		CPT09	20
64632	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.029	1		010		CPT09	20
64632	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		010		CPT09	20
64632	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010		CPT09	20
64633	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		CPT12	May 16
64633	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010		CPT12	May 16
64633	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010		CPT12	May 16
64633	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT12	May 16
64633	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010		CPT12	May 16
64633	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	25	2		010		CPT12	May 16
64633	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	1		010		CPT12	May 16
64633	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.76	1		010		CPT12	May 16
64633	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	3		010		CPT12	May 16
64634	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	25	2		ZZZ		CPT12	May 16
64634	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	1		ZZZ		CPT12	May 16
64634	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	3		ZZZ		CPT12	May 16
64635	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010		CPT12	May 16
64635	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		010		CPT12	May 16
64635	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		010		CPT12	May 16
64635	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010		CPT12	May 16
64635	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010		CPT12	May 16
64635	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	25	2		010		CPT12	May 16
64635	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	1		010		CPT12	May 16
64635	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.76	1		010		CPT12	May 16
64635	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	3		010		CPT12	May 16
64636	RUC	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	25	2		ZZZ		CPT12	May 16
64636	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	10.75	1		ZZZ		CPT12	May 16
64636	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	3		ZZZ		CPT12	May 16
64640	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64640	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		010			
64640	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010			
64640	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
64640	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010			
64640	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		010			
64640	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	1		010			
64640	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		010			
64640	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.254	5		010			
64642	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 15
64642	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 15
64642	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		000		CPT14	May 15
64642	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		CPT14	May 15
64642	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		000		CPT14	May 15
64642	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		000		CPT14	May 15
64642	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	8		000		CPT14	May 15
64642	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	2		000		CPT14	May 15
64643	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		ZZZ		CPT14	May 15
64643	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		ZZZ		CPT14	May 15
64643	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		ZZZ		CPT14	May 15
64643	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		ZZZ		CPT14	May 15
64643	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		ZZZ		CPT14	May 15
64643	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	8		ZZZ		CPT14	May 15
64643	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	2		ZZZ		CPT14	May 15
64644	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 15
64644	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	6		000		CPT14	May 15
64644	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	6		000		CPT14	May 15
64644	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	6		000		CPT14	May 15
64644	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	12		000		CPT14	May 15
64644	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	24		000		CPT14	May 15
64644	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	24		000		CPT14	May 15
64644	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	6		000		CPT14	May 15
64645	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	6		ZZZ		CPT14	May 15
64645	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	6		ZZZ		CPT14	May 15
64645	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	6		ZZZ		CPT14	May 15
64645	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	12		ZZZ		CPT14	May 15
64645	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	24		ZZZ		CPT14	May 15
64645	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	24		ZZZ		CPT14	May 15
64645	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	6		ZZZ		CPT14	May 15
64646	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 15
64646	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		000		CPT14	May 15
64646	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	4		000		CPT14	May 15
64646	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	6		000		CPT14	May 15
64646	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	5		000		CPT14	May 15
64646	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000		CPT14	May 15
64646	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		000		CPT14	May 15
64646	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	2		000		CPT14	May 15
64647	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 15
64647	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		CPT14	May 15
64647	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	6		000		CPT14	May 15
64647	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	6		000		CPT14	May 15
64647	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		000		CPT14	May 15
64647	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	12		000		CPT14	May 15
64647	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		000		CPT14	May 15
64647	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	2		000		CPT14	May 15
64650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
64650	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		RUC05	
64650	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		RUC05	
64650	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		RUC05	
64650	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		RUC05	
64650	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		RUC05	
64650	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	4		000		RUC05	
64650	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	4		000		RUC05	
64650	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		RUC05	
64650	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		000		RUC05	
64650	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000		RUC05	
64650	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		000		RUC05	
64650	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		RUC05	
64653	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
64653	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		RUC05	
64653	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		RUC05	
64653	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		RUC05	
64653	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		RUC05	
64653	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		RUC05	
64653	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	4		000		RUC05	
64653	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	4		000		RUC05	
64653	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		RUC05	
64653	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		000		RUC05	
64653	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000		RUC05	
64653	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		000		RUC05	
64653	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		RUC05	
64680	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64680	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
64680	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		010			
64680	RUC	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.059	10		010			
64681	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
64681	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	010			
64681	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.477	1		010			
64681	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		010			
64681	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		010			
64681	RUC	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.059	1		010			
64681	RUC	"Pharmacy, Rx"	SH060	renographin-60	ml	0.38	1		010			
64702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
64702	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64702	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64704	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64704	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64704	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64708	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr08	ss
64708	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64708	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64712	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64712	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64712	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64713	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
64713	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64713	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64714	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
64714	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64714	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64716	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
64716	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
64716	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Jan04	21
64716	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
64716	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64716	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64716	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
64716	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64716	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Jan04	21
64716	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
64716	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
64716	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
64716	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
64718	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
64718	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64718	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64719	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64719	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64719	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64721	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090	64721	Apr06	J
64721	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Apr06	J
64721	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090			
64721	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	4	4	090			
64722	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64722	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64722	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64726	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64726	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64726	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64732	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64732	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64732	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64734	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64734	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64734	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64736	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64736	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64736	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64738	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64738	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64738	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64740	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
64740	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2	090		Jan04	21
64740	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Jan04	21
64740	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2	090		Jan04	21
64740	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64740	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64740	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Jan04	21
64740	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	090		Jan04	21
64740	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Jan04	21
64740	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64740	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Jan04	21
64742	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64742	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64742	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64744	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64744	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64744	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64746	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64746	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64746	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64755	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64755	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64755	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64760	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64760	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64763	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64763	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64763	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64766	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64766	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64766	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64771	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64771	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64771	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64772	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64772	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64772	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64774	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64774	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64774	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64776	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64776	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64776	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64782	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64782	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64782	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64784	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64784	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64784	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64786	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64786	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64786	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64788	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64788	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64788	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64790	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64790	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64790	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64792	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64792	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64792	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64802	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64802	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64802	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64804	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64804	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64809	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64809	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64809	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64818	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64818	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64818	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Apr06	J
64820	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64820	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
64821	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
64822	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
64822	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
64823	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090			
64823	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090			
64831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		Feb08	ss
64831	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64831	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64834	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2	090		Apr06	J
64834	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64834	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64835	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64835	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64835	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64836	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64836	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64836	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64840	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64840	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64856	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64856	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64856	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64857	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64857	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64857	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64858	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64858	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64858	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64861	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64861	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64861	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64862	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64862	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64862	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64864	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
64864	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2	090		Jan04	21
64864	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Jan04	21
64864	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2	090		Jan04	21
64864	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64864	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64864	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Jan04	21
64864	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64864	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Jan04	21
64865	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Jan04	21
64865	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
64865	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2.5	090		Jan04	21
64865	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2.5	090		Jan04	21
64865	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2.5	090		Jan04	21
64865	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64865	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64865	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2.5	090		Jan04	21
64865	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2.5	090		Jan04	21
64865	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		10	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
64865	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090		Jan04	21
64865	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090		Jan04	21
64865	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		12.5	090		Jan04	21
64865	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2.5	090		Jan04	21
64865	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		25	090		Jan04	21
64865	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		12.5	090		Jan04	21
64865	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
64865	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		2.5	090		Jan04	21
64866	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Jan04	21
64866	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
64866	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2.5	090		Jan04	21
64866	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2.5	090		Jan04	21
64866	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2.5	090		Jan04	21
64866	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64866	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64866	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2.5	090		Jan04	21
64866	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2.5	090		Jan04	21
64866	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		10	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
64866	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090		Jan04	21
64866	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090		Jan04	21
64866	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		12.5	090		Jan04	21
64866	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2.5	090		Jan04	21
64866	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		25	090		Jan04	21
64866	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		12.5	090		Jan04	21
64866	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
64866	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		2.5	090		Jan04	21
64868	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		1	090		Jan04	21
64868	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
64868	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2	090		Jan04	21
64868	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		2	090		Jan04	21
64868	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2	090		Jan04	21
64868	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64868	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64868	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Jan04	21
64868	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Jan04	21
64868	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		8	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
64868	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090		Jan04	21
64868	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090		Jan04	21
64868	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Jan04	21
64868	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Jan04	21
64868	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Jan04	21
64868	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		10	090		Jan04	21
64868	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
64868	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		2	090		Jan04	21
64885	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Jan04	21
64885	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
64885	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Jan04	21
64885	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
64885	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64885	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64885	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
64885	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64885	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
64886	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
64886	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
64886	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		3	090		Jan04	21
64886	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
64886	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090		Jan04	21
64886	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		2	090		Jan04	21
64886	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
64886	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
64886	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
64890	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64890	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64890	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64891	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64891	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64891	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64892	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64892	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64892	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64893	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64893	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64893	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64895	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64895	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64895	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64896	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64896	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64896	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64897	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64897	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64897	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64898	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64898	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64898	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64905	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64905	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64905	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64907	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
64907	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
64907	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363		2	090			
64910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
64910	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT07	
64911	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090		CPT07	
64911	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		CPT07	
65091	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
65091	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65091	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65091	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65091	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65091	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65091	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65091	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65091	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65091	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65093	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090	ok	Apr06	J
65093	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65093	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65093	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65093	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65093	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65093	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65093	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65093	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65093	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65093	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65101	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
65101	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65101	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65101	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65101	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65101	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65101	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65101	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65101	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65101	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65101	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65101	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165		1	090			
65103	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
65103	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65103	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65103	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65103	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65103	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65103	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65103	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65103	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65103	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65103	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65105	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4.5	090	ok	Apr06	J
65105	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65105	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65105	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65105	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65105	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65105	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65105	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65105	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65105	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65105	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65110	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		5.5	090	ok	Apr06	J
65110	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65110	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65110	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65110	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65110	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65110	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65110	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65110	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65110	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65112	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		6.5	090	ok	Apr06	J
65112	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65112	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65112	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65112	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65112	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65112	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65112	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65112	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65112	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65112	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65114	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		6.5	090	ok	Apr06	J
65114	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65114	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
65114	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
65114	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
65114	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
65114	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65114	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65114	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65114	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
65114	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
65125	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
65125	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090	ok	Mar03	10
65125	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65125	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
65125	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
65125	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
65125	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65125	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65125	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65125	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
65125	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		090		Mar03	10
65125	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
65125	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
65125	RUC	"Accessory, Procedure"	SD107	"peg, for prosthetic ocular implant"	item	58.333	1		090		Mar03	10
65125	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		Mar03	10
65125	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
65125	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
65125	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
65125	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
65125	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
65125	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65125	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
65125	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
65125	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
65130	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
65130	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
65130	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65130	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65130	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65130	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
65130	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
65135	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
65135	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
65135	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65135	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65135	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65135	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
65135	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
65140	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4.5	090	ok	Apr06	J
65140	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
65140	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65140	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65140	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65140	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
65140	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
65150	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090	ok	Apr06	J
65150	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
65150	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65150	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65150	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65150	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
65150	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
65155	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4.5	090	ok	Apr06	J
65155	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
65155	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65155	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65155	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65155	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
65155	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
65175	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090	ok	Apr06	J
65175	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
65175	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
65175	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
65175	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65175	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
65175	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
65205	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
65210	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
65220	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
65222	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
65235	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090		Apr06	J
65235	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
65235	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		1	090			
65235	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
65235	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
65235	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.6	090			
65235	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65235	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
65235	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		45	090			
65260	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
65260	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328		1	090			
65260	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		2	090			
65260	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689		1	090			
65260	RUC	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.6		1	090			
65260	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
65260	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
65260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		420	090			
65260	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.6	090			
65260	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65260	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65260	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65260	RUC	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090			
65260	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
65260	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		45	090			
65260	RUC	Lab	SL020	bleach	ml	0.001		10	090			
65265	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5.5	090	ok	Apr06	J
65265	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328		1	090			
65265	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		2	090			
65265	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689		1	090			
65265	RUC	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.6		1	090			
65265	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
65265	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
65265	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		432	090			
65265	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.7	090			
65265	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65265	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65265	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65265	RUC	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090			
65265	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
65265	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		50	090			
65265	RUC	Lab	SL020	bleach	ml	0.001		10	090			
65270	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
65270	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	2	1	010	ok	Mar03	10
65270	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		Mar03	10
65270	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar03	10
65270	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar03	10
65270	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		010		Mar03	10
65270	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		010		Mar03	10
65270	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
65272	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
65272	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2.5	1.5	090		Mar03	10
65272	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3.5	2.5	090	ok	Mar03	10
65272	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65272	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65272	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65272	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65272	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65272	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
65272	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
65272	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
65272	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
65272	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
65272	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65272	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	0.5		090		Mar03	10
65272	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65273	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		2.5	090	ok	Mar03	10
65275	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
65275	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok	Mar03	10
65275	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65275	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65275	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65275	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65275	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65275	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
65275	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65275	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65280	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Mar03	10
65285	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		7	090	ok	Feb08	ss
65286	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4.5	3.5	090	ok	Mar03	10
65286	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65286	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65286	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65286	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65286	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65286	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
65286	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		090		Mar03	10
65286	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65286	RUC	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	28.988	1		090		Mar03	10
65286	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65286	RUC	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	61	1		090		Mar03	10
65290	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Mar03	10
65400	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
65400	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	5.5	4.5	090		Mar03	10
65400	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65400	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65400	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65400	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65400	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65400	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
65400	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
65400	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Mar03	10
65400	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
65400	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65400	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		090		Mar03	10
65400	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65410	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
65410	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		Mar03	10
65410	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		000		Mar03	10
65410	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		000		Mar03	10
65410	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		000		Mar03	10
65420	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
65420	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	5	4	090		Mar03	10
65420	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65420	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65420	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65420	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65420	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65420	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
65420	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
65420	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Mar03	10
65420	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
65420	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
65420	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
65420	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
65420	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
65420	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65420	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		090		Mar03	10
65420	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65426	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
65426	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	5	4	090		Mar03	10
65426	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65426	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65426	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65426	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65426	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65426	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
65426	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
65426	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Mar03	10
65426	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
65426	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
65426	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
65426	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	2		090		Mar03	10
65426	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
65426	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65426	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4.5		090		Mar03	10
65426	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65430	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
65430	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		000		Mar03	10
65435	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
65435	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		000		Mar03	10
65436	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	090		Mar03	10
65436	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Mar03	10
65450	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3.5	2.5	090		Mar03	10
65450	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
65600	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2.5		090	ok	Apr06	J
65600	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090			
65600	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		090			
65600	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		090			
65600	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
65600	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212	0.4		090			
65600	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	40		090			
65600	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67	2		090			
65600	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090			
65600	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	60		090			
65600	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	70		090			
65710	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		6	090		Apr06	J
65710	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
65710	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		27	090			
65730	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090	ok		
65730	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
65730	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		5	090			
65750	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090	ok	Apr06	J
65750	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
65750	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		27	090			
65755	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090	ok	Apr06	J
65755	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
65755	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		27	090			
65756	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090		CPT09	21
65756	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090		CPT09	21
65770	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		6.5	090		Apr06	J
65770	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65770	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
65770	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65770	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65770	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		35	090			
65772	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3.5	2.5	090		Mar03	10
65772	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65772	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65772	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65772	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65772	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65772	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
65772	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
65772	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
65772	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65772	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		090		Mar03	10
65772	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65775	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090		Apr06	J
65775	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
65775	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		21	090			
65778	RUC	"Accessory, Procedure"	SD248	human amniotic membrane allograft mounted on a non-absorbable self-retaining ring	item	895	1		010		CPT11	13
65779	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT11	13
65779	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	010		CPT11	13
65779	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		CPT11	13
65779	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		CPT11	13
65779	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT11	13
65779	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		CPT11	13
65779	RUC	"Accessory, Procedure"	SD247	human amniotic membrane allograft	item	595	1		010		CPT11	13
65779	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		010		CPT11	13
65779	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	1		010		CPT11	13
65779	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		010		CPT11	13
65779	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		010		CPT11	13
65779	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		CPT11	13
65780	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		10	090			
65780	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
65781	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		10	090			
65781	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
65782	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		9	090			
65782	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090			
65800	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		CPT13	May 20
65800	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT13	May 20
65800	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		CPT13	May 20
65800	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000		CPT13	May 20
65800	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT13	May 20
65800	RUC	Lab	SL032	culture media	ml	0.013	4		000		CPT13	May 20
65800	RUC	Lab	SL238	"slide, glass, (plain blank slide)"	item	0.284	2		000		CPT13	May 20
65810	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Mar03	10
65815	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
65815	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok	Apr06	J
65815	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
65815	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
65815	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
65815	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
65815	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
65815	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
65815	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		090		Mar03	10
65815	RUC	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.688	1		090		Mar03	10
65815	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
65815	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
65815	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		090		Mar03	10
65815	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
65815	RUC	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	61	1		090		Mar03	10
65820	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		5	090		Apr06	J
65820	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		8	090			
65820	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
65820	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
65820	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
65820	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.8	090			
65820	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		80	090			
65820	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		4	090			
65820	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
65820	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
65820	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
65850	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
65850	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65850	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65850	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65850	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		24	090			
65855	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
65855	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	1		010		Mar03	10
65855	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		010		Mar03	10
65860	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		090		Mar03	10
65860	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	1		090		Mar03	10
65860	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090		Mar03	10
65865	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Apr06	J
65865	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65865	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65865	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65865	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
65870	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Apr06	J
65870	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65870	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65870	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65870	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
65875	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
65875	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65875	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65875	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65875	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
65880	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
65880	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65880	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65880	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65880	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
65900	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
65900	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65900	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
65900	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		40	090			
65900	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		2	090			
65900	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		27	090			
65920	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
65920	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65920	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65920	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65920	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
65930	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Apr06	J
65930	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
65930	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
65930	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
65930	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		24	090			
66020	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	E
66020	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	E
66020	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	E
66020	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		Mar04	E
66020	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	E
66020	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	E
66020	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010		Mar04	E
66020	RUC	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.688	1		010		Mar04	E
66020	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083	1		010		Mar04	E
66030	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	E
66030	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	E
66030	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	E
66030	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		Mar04	E
66030	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	E
66030	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	E
66030	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010		Mar04	E
66030	RUC	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.688	1		010		Mar04	E
66030	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083	1		010		Mar04	E
66130	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok	Mar03	10
66130	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
66130	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
66130	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
66130	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
66130	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
66130	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
66130	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
66130	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Mar03	10
66130	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
66130	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
66130	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
66130	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
66130	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
66130	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
66130	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		090		Mar03	10
66130	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
66150	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		7	090	ok		
66150	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
66150	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
66150	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
66155	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		7	090	ok		
66155	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
66155	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
66155	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
66160	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		7	090	ok		
66160	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
66160	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
66160	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
66170	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		9	090	ok		
66170	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
66170	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
66170	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
66172	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		12	090	ok		
66172	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15		1	090			
66172	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
66172	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
66172	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
66172	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
66174	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090		CPT11	14
66175	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090		CPT11	14
66179	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090	66179	May 2014	May 23
66179	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	66179	May 2014	May 23
66179		"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090	66179	May 2014	May 23
66179	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	090	66179	May 2014	May 23
66180	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090	66180	May 2014	May 23
66180	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	66180	May 2014	May 23
66180	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090	66180	May 2014	May 23
66180	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	090	66180	May 2014	May 23
66183	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		8	090		CPT14	May 16
66184	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090	66180	May 2014	May 23
66184	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	66180	May 2014	May 23
66184	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090	66180	May 2014	May 23
66184	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	090	66180	May 2014	May 23
66185	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090	66185	May 2014	May 23
66185	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	66185	May 2014	May 23
66185	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090	66185	May 2014	May 23
66185	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	090	66185	May 2014	May 23
66220	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
66220	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328		1	090			
66220	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		2	090			
66220	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689		1	090			
66220	RUC	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.6		1	090			
66220	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
66220	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
66220	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		420	090			
66220	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.6	090			
66220	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
66220	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
66220	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
66220	RUC	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090			
66220	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
66220	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		45	090			
66220	RUC	Lab	SL020	bleach	ml	0.001		10	090			
66225	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
66225	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
66225	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		24	090			
66250	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
66250	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4.5	3.5	090	ok	Mar03	10
66250	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
66250	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
66250	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
66250	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
66250	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
66250	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		090		Mar03	10
66250	RUC	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.688	1		090		Mar03	10
66250	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Mar03	10
66250	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
66250	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
66250	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
66250	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		090		Mar03	10
66250	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
66250	RUC	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	61	1		090		Mar03	10
66500	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		2.5	090	ok	Apr06	J
66500	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		4	090			
66500	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		2	090			
66500	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		2	090			
66500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
66500	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
66500	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		40	090			
66500	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		2	090			
66500	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
66500	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
66500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		70	090			
66505	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Apr06	J
66505	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		4	090			
66505	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		2	090			
66505	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		2	090			
66505	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		24	090			
66505	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
66505	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		40	090			
66505	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		2	090			
66505	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
66505	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		60	090			
66505	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		70	090			
66600	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
66600	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		8	090			
66600	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
66600	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
66600	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
66600	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.8	090			
66600	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		80	090			
66600	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		4	090			
66600	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
66600	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
66600	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
66605	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
66605	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
66605	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.2	090			
66605	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		40	090			
66605	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		2	090			
66605	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		27	090			
66625	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Mar03	10
66630	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Mar03	10
66635	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Mar03	10
66680	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Apr06	J
66680	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
66680	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
66680	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
66680	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
66682	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Apr06	J
66682	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		8	090			
66682	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
66682	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
66682	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
66682	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.8	090			
66682	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		80	090			
66682	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		4	090			
66682	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
66682	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
66682	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
66700	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	090	ok		
66700	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090			
66700	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090			
66700	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3	3	090			
66710	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	090	ok		
66710	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090			
66710	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090			
66710	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3	3	090			
66711	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok		
66720	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	090			
66720	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090			
66720	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		090			
66720	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3	3	090			
66740	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	090	ok		
66740	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090			
66740	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090			
66740	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3	3	090			
66761	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	010		CPT11	34
66761	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	1		010		CPT11	34
66761	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		010		CPT11	34
66761	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67	1		010		CPT11	34
66761	RUC	"Pharmacy, Rx"	SH097	Pilocarpine 2%	ml	2.853	1		010		CPT11	34
66762	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	090			
66762	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090			
66762	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3	3	090			
66770	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	090			
66770	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090			
66770	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090			
66770	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3	3	090			
66820	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		2.5	090	ok	Apr06	J
66820	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		8	090			
66820	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
66820	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
66820	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
66820	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.8	090			
66820	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		4	090			
66820	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		80	090			
66820	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
66820	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
66820	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
66821	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3	2	090	ok		
66821	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1	1	090			
66821	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		090			
66825	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
66825	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		8	090			
66825	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		4	090			
66825	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
66825	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
66825	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.8	090			
66825	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		4	090			
66825	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		80	090			
66825	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
66825	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
66825	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
66830	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	66984	ok	
66840	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	66984	ok	
66850	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	66984	ok	
66852	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	66984	ok	
66920	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	66984	ok	
66930	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
66930	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
66940	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
66940	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		15	090			
66982	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		2	090		CPT13	Mar 6
66982	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		2	090		CPT13	Mar 6
66983	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	66984	ok	
66984	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		2	090		CPT13	Mar 6
66984	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		2	090		CPT13	Mar 6
66985	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	66984	ok	
66986	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	66984	ok	
67005	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
67010	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
67015	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
67015	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		2	090			
67015	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67015	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
67015	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
67015	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.6	090			
67015	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
67015	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
67015	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67015	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
67015	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		45	090			
67025	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	5	4	090	ok	Mar03	10
67025	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67025	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67025	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Mar03	10
67025	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67025	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67025	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67025	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	4.9	1		090		Mar03	10
67025	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67025	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		090		Mar03	10
67025	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		090		Mar03	10
67025	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67025	RUC	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	3.323	10		090		Mar03	10
67025	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		090		Mar03	10
67025	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		090		Mar03	10
67025	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67027	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Mar03	10
67028	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT11	58
67028	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	58
67028	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		CPT11	58
67028	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		CPT11	58
67028	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000		CPT11	58
67028	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		000		CPT11	58
67028	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		CPT11	58
67030	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
67030	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		2	090			
67030	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67030	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
67030	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
67030	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.5	090			
67030	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
67030	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
67030	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67030	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
67030	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		45	090			
67031	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	3.5	2.5	090	ok	Mar03	10
67031	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	1		090		Mar03	10
67031	RUC	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.013	1		090		Mar03	10
67036	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	67036	November 2013	November 2
67039	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	67039	November 2013	November 2
67040	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	67040	November 2013	November 2
67041	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	67041	November 2013	November 2
67042	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	67042	November 2013	November 2
67043	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	67043	November 2013	November 2
67101	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	5	4	090	ok	Mar03	10
67101	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67101	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67101	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67101	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67101	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67101	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67101	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		090		Mar03	10
67101	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090		Mar03	10
67101	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		090		Mar03	10
67101	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67105	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4.5	3.5	090	ok	Mar03	10
67105	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67105	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		090		Mar03	10
67105	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	0.1		090		Mar03	10
67105	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090		Mar03	10
67107	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Mar03	10
67108	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Mar03	10
67110	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67110	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	5.5	4.5	090	ok	Mar03	10
67110	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67110	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67110	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Mar03	10
67110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67110	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67110	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	4.9	1		090		Mar03	10
67110	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67110	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	3		090		Mar03	10
67110	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	3		090		Mar03	10
67110	RUC	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	3.323	5		090		Mar03	10
67110	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090		Mar03	10
67110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		090		Mar03	10
67110	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67112	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090	ok	Mar03	10
67113	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		7	090		CPT08	G
67115	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3.5	090	ok	Mar03	10
67120	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67120	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4.5	3.5	090	ok	Mar03	10
67120	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67120	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67120	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		090		Mar03	10
67120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67120	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67120	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	4.9	1		090		Mar03	10
67120	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67120	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67120	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		090		Mar03	10
67120	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67120	RUC	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.825	1		090		Mar03	10
67120	RUC	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	21.773	1		090		Mar03	10
67120	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090		Mar03	10
67120	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		090		Mar03	10
67120	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67121	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Mar03	10
67141	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ol	Mar03	10
67141	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67141	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67141	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67141	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67141	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67141	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		090		Mar03	10
67141	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67141	RUC	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.825	1		090		Mar03	10
67141	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090		Mar03	10
67141	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		090		Mar03	10
67145	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok	Mar03	10
67145	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67145	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		090		Mar03	10
67145	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	0.1		090		Mar03	10
67145	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		090		Mar03	10
67208	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok		
67208	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090			
67208	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2	1	090			
67208	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		090			
67208	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
67208	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36	24	090			
67208	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090			
67210	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok	CPT12	MD Time
67210	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090			
67218	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
67218	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328		1	090			
67218	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		2	090			
67218	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689		1	090			
67218	RUC	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.6		1	090			
67218	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67218	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		1	090			
67218	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		420	090			
67218	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.6	090			
67218	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
67218	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		1	090			
67218	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67218	RUC	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090			
67218	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090			
67218	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		45	090			
67218	RUC	Lab	SL020	bleach	ml	0.001		10	090			
67220	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok	CPT12	MD Time
67220	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090			
67221	RUC	"Kit, Pack, Tray"	SA049	"pack, ocular photodynamic therapy"	pack	20.675	1		000		Feb05	
67221	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		000	ok	Feb05	
67221	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	1		000		Feb05	
67227	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090	ok		
67227	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		090			
67227	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2	1	090			
67227	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		090			
67227	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
67227	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36	24	090			
67227	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20		090			
67228	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	4	3	090		CPT08	H
67228	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		090		CPT08	H
67228	RUC	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.825	3		090		CPT08	H
67228	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	3		090		CPT08	H
67228	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		CPT08	H
67229	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090		CPT08	H
67250	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Apr06	J
67250	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
67250	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
67250	RUC	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.67		6	090			
67250	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67250	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
67250	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
67255		"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090	67255	May 2014	May 23
67255		"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	67255	May 2014	May 23
67255		"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535		1	090	67255	May 2014	May 23
67255		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		10	090	67255	May 2014	May 23
67311	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090			
67311	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		1	090			
67311	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67311	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		36	090			
67311	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
67311	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67311	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		5	090			
67312	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090		Apr06	J
67312	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		1	090			
67312	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67312	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		36	090			
67312	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
67312	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67312	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
67314	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Apr06	J
67314	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		1	090			
67314	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67314	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		36	090			
67314	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
67314	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67314	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
67316	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
67316	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		1	090			
67316	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67316	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		36	090			
67316	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
67316	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67316	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
67318	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Apr06	J
67318	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		1	090			
67318	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67318	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		36	090			
67318	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
67318	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67318	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
67343	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090		Apr06	J
67343	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		1	090			
67343	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		1	090			
67343	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		36	090			
67343	RUC	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.212		0.4	090			
67343	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67343	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		40	090			
67345	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	E
67345	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	E
67345	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		010		Mar04	E
67345	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		010		Mar04	E
67345	RUC	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.03	1		010		Mar04	E
67345	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar04	E
67400	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4.5	090	ok	Apr06	J
67400	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67400	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
67400	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
67400	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
67400	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
67400	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
67400	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
67400	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67400	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
67400	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
67405	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
67405	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67405	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
67405	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
67405	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
67405	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
67405	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
67405	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
67405	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67405	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
67405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
67412	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		2.5	090	ok	Apr06	J
67412	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67412	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67412	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67412	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67412	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67412	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67412	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67412	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67412	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67412	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67413	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
67413	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67413	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		12	090			
67413	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		6	090			
67413	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
67413	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
67413	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
67413	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
67413	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67413	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
67413	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
67414	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		3	090	ok	Apr06	J
67414	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67414	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67414	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67414	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67414	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67414	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67414	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67414	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67414	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67414	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67420	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
67420	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67420	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67420	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67420	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67420	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67420	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67420	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67420	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67420	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67420	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67430	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090	ok	Apr06	J
67430	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67430	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67430	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67430	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67430	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67430	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67430	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67430	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67430	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67430	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67440	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5.5	090	ok	Apr06	J
67440	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67440	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67440	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67440	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67440	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67440	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67440	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67440	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67440	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67440	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67445	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
67445	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67445	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67445	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67445	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67445	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67445	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67445	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67445	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67445	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67445	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67450	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090	ok	Apr06	J
67450	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67450	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67450	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67450	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67450	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67450	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67450	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67450	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67450	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67450	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67500	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
67500	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		Mar03	10
67500	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		Mar03	10
67500	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		000		Mar03	10
67505	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
67505	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		Mar03	10
67505	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		Mar03	10
67505	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		000		Mar03	10
67515	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
67515	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		Mar03	10
67515	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		Mar03	10
67515	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		000		Mar03	10
67550	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
67550	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
67550	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
67550	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
67550	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67550	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
67550	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
67560	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
67560	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		14	090			
67560	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		6	090			
67560	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		120	090			
67560	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67560	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		200	090			
67560	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		226	090			
67570	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		4	090	ok	Apr06	J
67570	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
67570	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336		16	090			
67570	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52		8	090			
67570	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		8	090			
67570	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		96	090			
67570	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		8	090			
67570	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		160	090			
67570	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
67570	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		240	090			
67570	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		260	090			
67700	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	D
67700	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	D
67700	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
67700	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	D
67700	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar04	D
67700	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar04	D
67700	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	D
67700	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	D
67700	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
67700	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
67700	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	D
67700	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar04	D
67700	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	D
67700	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar04	D
67700	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar04	D
67700	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	D
67700	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar04	D
67700	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar04	D
67700	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar04	D
67700	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	D
67700	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	D
67700	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar04	D
67700	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar04	D
67700	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar04	D
67700	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar04	D
67700	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		010		Mar04	D
67700	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar04	D
67700	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar04	D
67710	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	D
67710	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	D
67710	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
67710	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	D
67710	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar04	D
67710	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar04	D
67710	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	D
67710	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	D
67710	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
67710	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
67710	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	D
67710	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar04	D
67710	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	D
67710	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar04	D
67710	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar04	D
67710	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	D
67710	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar04	D
67710	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	D
67710	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	D
67710	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar04	D
67710	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar04	D
67710	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar04	D
67710	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar04	D
67710	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		010		Mar04	D
67710	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar04	D
67710	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar04	D
67715	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	D
67715	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	D
67715	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	D
67715	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	D
67715	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar04	D
67715	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar04	D
67715	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	D
67715	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	D
67715	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	D
67715	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar04	D
67715	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	D
67715	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar04	D
67715	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	D
67715	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar04	D
67715	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar04	D
67715	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	D
67715	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar04	D
67715	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	D
67715	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	D
67715	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar04	D
67715	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar04	D
67715	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar04	D
67715	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar04	D
67715	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		010		Mar04	D
67715	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar04	D
67715	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar04	D
67800	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1.5	0.5	010		Mar03	10
67800	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
67800	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
67800	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
67800	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	10
67800	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		010		Mar03	10
67800	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	3		010		Mar03	10
67800	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		010		Mar03	10
67801	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1.5	0.5	010		Mar03	10
67801	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
67801	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
67801	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
67801	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	10
67801	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		010		Mar03	10
67801	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		010		Mar03	10
67801	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		010		Mar03	10
67805	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
67805	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
67805	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
67805	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
67805	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	10
67805	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		010		Mar03	10
67805	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5		010		Mar03	10
67805	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	7		010		Mar03	10
67808	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		2.5	090		Mar03	10
67810	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000		CPT13	May 21
67810	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		CPT13	May 21
67810	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	May 21
67810	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT13	May 21
67810	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT13	May 21
67810	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		CPT13	May 21
67810	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		CPT13	May 21
67810	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		000		CPT13	May 21
67810	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT13	May 21
67810	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000		CPT13	May 21
67810	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	20		000		CPT13	May 21
67810	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	10.154	1		000		CPT13	May 21
67810	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000		CPT13	May 21
67810	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		000		CPT13	May 21
67810	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		CPT13	May 21
67810	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		000		CPT13	May 21
67810	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		000		CPT13	May 21
67810	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000		CPT13	May 21
67810	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.596	1		000		CPT13	May 21
67810	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT13	May 21
67810	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		CPT13	May 21
67810	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		000		CPT13	May 21
67810	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000		CPT13	May 21
67810	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	May 21
67820	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
67825	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
67825	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar03	10
67825	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
67825	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
67825	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
67825	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar03	10
67825	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	10
67825	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	10
67825	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4		010		Mar03	10
67825	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar03	10
67825	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
67825	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
67825	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
67830	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	E
67830	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	E
67830	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	E
67830	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	E
67830	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar04	E
67830	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar04	E
67830	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	E
67830	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	E
67830	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	E
67830	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	E
67830	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar04	E
67830	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	E
67830	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar04	E
67830	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	E
67830	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar04	E
67830	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	2		010		Mar04	E
67830	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar04	E
67830	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	E
67830	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	E
67830	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar04	E
67830	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar04	E
67830	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar04	E
67830	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar04	E
67830	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		010		Mar04	E
67830	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar04	E
67830	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar04	E
67835	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090	ok	Apr06	J
67835	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		12	090			
67840	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	E
67840	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	E
67840	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	E
67840	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	E
67840	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar04	E
67840	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar04	E
67840	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	E
67840	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	E
67840	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	E
67840	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	E
67840	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar04	E
67840	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	E
67840	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar04	E
67840	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar04	E
67840	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Mar04	E
67840	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar04	E
67840	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar04	E
67840	RUC	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.6	1		010		Mar04	E
67840	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	E
67840	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	E
67840	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar04	E
67840	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar04	E
67840	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar04	E
67840	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar04	E
67840	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		010		Mar04	E
67840	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar04	E
67840	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar04	E
67850	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar04	E
67850	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar04	E
67850	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar04	E
67850	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar04	E
67850	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar04	E
67850	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	1		010		Mar04	E
67850	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar04	E
67850	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Mar04	E
67850	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar04	E
67850	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar04	E
67850	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar04	E
67850	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar04	E
67850	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar04	E
67850	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar04	E
67850	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Mar04	E
67850	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar04	E
67850	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar04	E
67850	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar04	E
67850	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	1		010		Mar04	E
67850	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar04	E
67850	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar04	E
67875	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		Mar03	10
67875	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
67875	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar03	10
67875	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Mar03	10
67875	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		000		Mar03	10
67875	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		Mar03	10
67875	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Mar03	10
67875	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar03	10
67875	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Mar03	10
67875	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Mar03	10
67875	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Mar03	10
67875	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000		Mar03	10
67875	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		Mar03	10
67875	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		000		Mar03	10
67875	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		000		Mar03	10
67875	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Mar03	10
67875	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Mar03	10
67875	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		000		Mar03	10
67875	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		000		Mar03	10
67875	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		000		Mar03	10
67875	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		000		Mar03	10
67875	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		000		Mar03	10
67875	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		Mar03	10
67875	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		Mar03	10
67880	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67880	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3.5	2.5	090		Mar03	10
67880	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67880	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67880	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67880	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67880	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67880	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67880	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67880	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67880	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67880	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67880	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67880	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67880	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67880	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67880	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		Mar03	10
67880	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67880	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67880	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67880	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67880	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67880	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67880	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67880	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67880	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67882	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67882	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		Mar03	10
67882	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67882	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67882	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67882	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67882	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67882	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67882	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67882	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67882	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67882	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67882	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67882	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67882	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67882	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67882	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		Mar03	10
67882	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67882	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67882	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67882	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67882	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67882	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67882	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67882	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67882	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67900	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67900	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		Mar03	10
67900	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67900	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67900	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67900	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67900	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67900	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67900	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67900	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67900	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67900	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67900	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67900	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67900	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67900	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090		Mar03	10
67900	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67900	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67900	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67900	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67900	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67900	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67900	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67900	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67900	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67901	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		RUC05	
67901	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	5	4	090		RUC05	
67901	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	90	ok	Apr06	J
67901	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		RUC05	
67901	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		RUC05	
67901	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		RUC05	
67901	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		RUC05	
67901	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		RUC05	
67901	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		RUC05	
67901	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		RUC05	
67901	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		RUC05	
67901	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		RUC05	
67901	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		RUC05	
67901	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		RUC05	
67901	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		RUC05	
67901	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		RUC05	
67901	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		RUC05	
67901	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		RUC05	
67901	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	2		090		RUC05	
67901	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		RUC05	
67901	RUC	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	21.773	1		090		RUC05	
67901	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	20		090		RUC05	
67901	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		RUC05	
67901	RUC	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.6	1		090		RUC05	
67901	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		RUC05	
67901	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		090		RUC05	
67901	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.1	5		090		RUC05	
67901	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		RUC05	
67901	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	5		090		RUC05	
67901	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		RUC05	
67901	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		RUC05	
67901	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		090		RUC05	
67901	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		090		RUC05	
67901	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		RUC05	
67901	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		RUC05	
67902	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		RUC05	
67902	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	90	ok	Apr06	J
67902	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090		RUC05	
67903	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67903	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		Mar03	10
67903	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67903	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67903	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67903	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67903	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67903	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67903	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67903	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67903	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67903	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67903	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67903	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67903	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67903	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Mar03	10
67903	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67903	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090		Mar03	10
67903	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67903	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67903	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67903	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67903	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67903	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67903	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67903	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67903	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67904	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67904	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	5	4	090		Mar03	10
67904	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67904	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67904	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67904	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67904	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67904	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67904	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67904	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67904	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67904	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67904	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67904	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67904	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67904	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Mar03	10
67904	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		Mar03	10
67904	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090		Mar03	10
67904	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67904	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67904	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67904	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67904	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67904	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67904	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67904	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67904	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67906	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3	090	ok	Mar03	10
67908	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4.5	3.5	090	ok	Apr06	J
67908	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083	1	1	090			
67908	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	22		090			
67908	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		090			
67908	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		090			
67908	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	3		090			
67908	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	60		090			
67908	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	2		090			
67908	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	90	60	090			
67908	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	100	10	090			
67909	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67909	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4.5	3.5	090		Mar03	10
67909	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67909	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67909	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67909	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67909	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67909	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67909	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67909	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67909	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67909	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67909	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67909	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67909	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67909	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Mar03	10
67909	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67909	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090		Mar03	10
67909	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67909	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67909	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67909	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67909	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67909	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67909	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67909	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67909	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67911	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		3.5	090		Mar03	10
67912	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090			
67912	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090			
67912	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090			
67912	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090			
67912	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		090			
67912	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090			
67912	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090			
67912	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090			
67912	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090			
67912	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090			
67912	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090			
67912	RUC	"Accessory, Procedure"	SD072	"eyelid weight implant, gold"	item	217.5	1		090			
67912	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		090			
67912	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090			
67912	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090			
67912	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090			
67912	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090			
67912	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	10		090			
67912	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090			
67912	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		090			
67914	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT14	May37
67914	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		CPT14	May37
67914	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67914	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67914	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67914	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67914	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67914	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67914	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67914	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67914	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67914	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67914	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67914	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		CPT14	May37
67914	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67914	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67914	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67914	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		090		CPT14	May37
67914	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67914	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		CPT14	May37
67914	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67914	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67914	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67914	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67915	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT14	May37
67915	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	090		CPT14	May37
67915	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67915	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67915	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67915	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67915	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67915	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67915	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67915	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67915	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67915	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67915	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67915	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67915	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67915	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67915	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		090		CPT14	May37
67915	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67915	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		CPT14	May37
67915	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67915	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67915	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67915	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67916	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT14	May37
67916	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		CPT14	May37
67916	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67916	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67916	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67916	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67916	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67916	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67916	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67916	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67916	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67916	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67916	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		CPT14	May37
67916	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67916	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		CPT14	May37
67916	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		090		CPT14	May37
67916	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67916	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689	1		090		CPT14	May37
67916	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67916	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67916	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		CPT14	May37
67916	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67916	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		CPT14	May37
67916	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67916	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67916	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67916	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67917	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT14	May37
67917	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		CPT14	May37
67917	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67917	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67917	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67917	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67917	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67917	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67917	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67917	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67917	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67917	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67917	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		CPT14	May37
67917	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67917	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		CPT14	May37
67917	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		090		CPT14	May37
67917	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67917	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689	1		090		CPT14	May37
67917	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67917	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67917	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		CPT14	May37
67917	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67917	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20		090		CPT14	May37
67917	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67917	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67917	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67917	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67921	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT14	May37
67921	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		CPT14	May37
67921	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67921	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67921	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67921	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67921	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67921	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67921	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67921	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67921	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67921	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67921	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67921	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	4		090		CPT14	May37
67921	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67921	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67921	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67921	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		090		CPT14	May37
67921	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67921	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		CPT14	May37
67921	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67921	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67921	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67921	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67922	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	090		CPT14	May37
67922	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67922	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67922	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67922	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67922	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67922	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67922	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67922	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67922	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67922	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67922	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67922	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67922	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67922	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67922	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		090		CPT14	May37
67922	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67922	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		CPT14	May37
67922	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67922	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67922	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67922	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67923	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT14	May37
67923	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		CPT14	May37
67923	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67923	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67923	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67923	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67923	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67923	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67923	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67923	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67923	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67923	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67923	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		CPT14	May37
67923	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67923	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		CPT14	May37
67923	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		090		CPT14	May37
67923	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67923	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689	1		090		CPT14	May37
67923	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67923	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67923	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		CPT14	May37
67923	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67923	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		CPT14	May37
67923	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67923	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67923	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67923	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67924	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		CPT14	May37
67924	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		CPT14	May37
67924	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		CPT14	May37
67924	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		CPT14	May37
67924	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		CPT14	May37
67924	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		CPT14	May37
67924	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		CPT14	May37
67924	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		CPT14	May37
67924	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		CPT14	May37
67924	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		CPT14	May37
67924	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		CPT14	May37
67924	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		CPT14	May37
67924	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		090		CPT14	May37
67924	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		CPT14	May37
67924	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	3		090		CPT14	May37
67924	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		090		CPT14	May37
67924	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		CPT14	May37
67924	RUC	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.689	1		090		CPT14	May37
67924	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		CPT14	May37
67924	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		CPT14	May37
67924	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		CPT14	May37
67924	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		CPT14	May37
67924	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	20		090		CPT14	May37
67924	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		CPT14	May37
67924	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		CPT14	May37
67924	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	1		090		CPT14	May37
67924	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		CPT14	May37
67930	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
67930	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
67930	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	10
67930	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	10
67930	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar03	10
67930	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		Mar03	10
67930	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	10
67930	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	10
67930	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	10
67930	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	10
67930	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
67930	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
67930	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
67930	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	10
67930	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Mar03	10
67930	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010		Mar03	10
67930	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	10
67930	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar03	10
67930	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		010		Mar03	10
67930	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	10
67930	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	10
67930	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		010		Mar03	10
67930	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar03	10
67930	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
67930	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
67930	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		010		Mar03	10
67930	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
67930	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar03	10
67935	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67935	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		Mar03	10
67935	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67935	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67935	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67935	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67935	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67935	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67935	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67935	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67935	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67935	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67935	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67935	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67935	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67935	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Mar03	10
67935	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67935	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		090		Mar03	10
67935	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		090		Mar03	10
67935	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67935	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67935	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67935	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67935	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67935	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67935	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67935	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67935	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67938	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
67938	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
67938	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	10
67938	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	10
67938	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar03	10
67938	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		Mar03	10
67938	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	10
67938	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	10
67938	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	10
67938	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Mar03	10
67938	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
67938	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
67938	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
67938	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar03	10
67938	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar03	10
67938	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Mar03	10
67938	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010		Mar03	10
67938	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		010		Mar03	10
67938	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Mar03	10
67938	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		010		Mar03	10
67938	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	10
67938	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	10
67938	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar03	10
67938	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar03	10
67938	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
67938	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
67938	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		010		Mar03	10
67938	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
67938	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Mar03	10
67950	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67950	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4.5	3.5	090		Mar03	10
67950	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67950	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67950	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67950	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67950	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67950	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67950	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67950	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67950	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67950	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67950	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67950	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67950	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67950	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Mar03	10
67950	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67950	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090		Mar03	10
67950	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		090		Mar03	10
67950	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67950	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67950	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67950	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67950	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67950	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67950	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67950	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67950	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67961	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67961	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4.5	3.5	090		Mar03	10
67961	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67961	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67961	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67961	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67961	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67961	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67961	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67961	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67961	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67961	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67961	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67961	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67961	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67961	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Mar03	10
67961	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67961	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090		Mar03	10
67961	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		090		Mar03	10
67961	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67961	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67961	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67961	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67961	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67961	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67961	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67961	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67961	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67966	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
67966	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	5	4	090		Mar03	10
67966	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
67966	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Mar03	10
67966	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		090		Mar03	10
67966	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		090		Mar03	10
67966	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
67966	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
67966	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
67966	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		090		Mar03	10
67966	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
67966	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		090		Mar03	10
67966	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
67966	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Mar03	10
67966	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Mar03	10
67966	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Mar03	10
67966	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Mar03	10
67966	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	4		090		Mar03	10
67966	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		090		Mar03	10
67966	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Mar03	10
67966	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		090		Mar03	10
67966	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
67966	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		090		Mar03	10
67966	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		090		Mar03	10
67966	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
67966	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		090		Mar03	10
67966	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		090		Mar03	10
67966	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Mar03	10
67971	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4.5	090		Mar03	10
67973	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		5.5	090		Mar03	10
67974	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		5.5	090		Mar03	10
67975	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4.5	090		Mar03	10
68020	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68020	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
68040	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
68100	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
68100	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		000		Mar03	10
68100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Mar03	10
68100	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		Mar03	10
68100	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		000		Mar03	10
68100	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		000		Mar03	10
68100	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		000		Mar03	10
68100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		000		Mar03	10
68100	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		000		Mar03	10
68110	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68110	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		Mar03	10
68110	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
68110	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
68110	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar03	10
68110	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar03	10
68110	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		010		Mar03	10
68110	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010		Mar03	10
68110	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
68115	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
68115	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68115	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Mar03	10
68115	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		010		Mar03	10
68115	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	10
68115	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		010		Mar03	10
68115	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Mar03	10
68115	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
68115	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
68115	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar03	10
68115	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar03	10
68115	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		010		Mar03	10
68115	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		010		Mar03	10
68115	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	1		010		Mar03	10
68115	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
68130	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4.5	3.5	090		Mar03	10
68130	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
68130	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
68130	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
68130	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
68130	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
68130	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
68130	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
68130	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Mar03	10
68130	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
68130	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
68130	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
68130	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
68130	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
68130	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
68130	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		090		Mar03	10
68130	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
68135	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68200	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
68200	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		Mar03	10
68200	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		000		Mar03	10
68200	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	3		000		Mar03	10
68320	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
68320	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	5	4	090		Mar03	10
68320	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
68320	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
68320	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
68320	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
68320	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
68320	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
68320	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
68320	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
68320	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
68320	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
68320	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	2		090		Mar03	10
68320	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
68320	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	2		090		Mar03	10
68320	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		090		Mar03	10
68320	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
68325	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Mar03	10
68326	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Mar03	10
68328	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Mar03	10
68330	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Mar03	10
68330	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4	3	090		Mar03	10
68330	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
68330	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
68330	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
68330	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
68330	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
68330	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
68330	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
68330	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
68330	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
68330	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
68330	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
68330	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20		090		Mar03	10
68330	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	2		090		Mar03	10
68330	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		090		Mar03	10
68330	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
68335	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Mar03	10
68340	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3.5	2.5	090		Mar03	10
68340	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
68340	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
68340	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
68340	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
68340	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
68340	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
68340	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
68340	RUC	"Accessory, Procedure"	SD158	"conformer, sterile, acrylic"	item	20	1		090		Mar03	10
68340	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
68340	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
68340	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
68340	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
68340	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
68340	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		090		Mar03	10
68340	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
68360	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3.5	2.5	090		Mar03	10
68360	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Mar03	10
68360	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.435	1		090		Mar03	10
68360	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Mar03	10
68360	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Mar03	10
68360	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Mar03	10
68360	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Mar03	10
68360	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		090		Mar03	10
68360	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		090		Mar03	10
68360	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		090		Mar03	10
68360	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.1667	1		090		Mar03	10
68360	RUC	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.32	1		090		Mar03	10
68360	RUC	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.62	1		090		Mar03	10
68360	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	2		090		Mar03	10
68360	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		090		Mar03	10
68362	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Mar03	10
68371	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	010			
68371	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	010			
68400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		Sep04	
68400	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Sep04	
68400	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
68400	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
68400	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Sep04	
68400	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		Sep04	
68400	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
68400	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Sep04	
68400	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
68400	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010			
68400	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
68400	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
68400	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Sep04	
68400	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Sep04	
68400	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Sep04	
68400	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
68400	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
68400	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	5		010		Sep04	
68400	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	1		010		Sep04	
68400	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010			
68400	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010			
68400	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Sep04	
68400	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
68400	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		010		Sep04	
68400	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Sep04	
68400	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
68400	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Sep04	
68400	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Sep04	
68400	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Sep04	
68420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		Sep04	
68420	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010	ok	Apr06	J
68420	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
68420	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
68420	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Sep04	
68420	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		Sep04	
68420	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
68420	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Sep04	
68420	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
68420	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
68420	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
68420	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
68420	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Sep04	
68420	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Sep04	
68420	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Sep04	
68420	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
68420	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
68420	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	5		010		Sep04	
68420	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	1		010		Sep04	
68420	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Sep04	
68420	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
68420	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.497	1		010		Sep04	
68420	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Sep04	
68420	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		010		Sep04	
68420	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Sep04	
68420	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
68420	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Sep04	
68420	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Sep04	
68420	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Sep04	
68440	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010	ok	Apr06	J
68500	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		5.5	090	ok	Apr06	J
68500	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68500	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
68500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
68500	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68500	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68500	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68500	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
68500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
68505	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		5.5	090	ok	Apr06	J
68505	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68505	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
68505	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
68505	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68505	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68505	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68505	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
68505	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
68510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Sep04	
68510	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000	ok	Apr06	J
68510	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Sep04	
68510	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		Sep04	
68510	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		000		Sep04	
68510	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		000		Sep04	
68510	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		Sep04	
68510	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000	Sep04	Sep04	
68510	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Sep04	
68510	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		Sep04	
68510	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Sep04	
68510	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		000	Sep04	Sep04	
68510	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		Sep04	
68510	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		000		Sep04	
68510	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		000	Sep04	Sep04	
68510	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Sep04	
68510	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		000	Sep04	Sep04	
68510	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	5		000	Sep04	Sep04	
68510	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	1		000	Sep04	Sep04	
68510	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		000		Sep04	
68510	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000		Sep04	
68510	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Sep04	
68510	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		000		Sep04	
68510	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		000	Sep04	Sep04	
68510	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		000	Sep04	Sep04	
68510	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		Sep04	
68510	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		000		Sep04	
68510	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		Sep04	
68520	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		1	090	ok	Apr06	J
68520	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68520	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
68520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
68520	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68520	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68520	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68520	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
68520	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
68530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		010		Sep04	
68530	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Apr06	J
68530	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		010		Sep04	
68530	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Sep04	
68530	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Sep04	
68530	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		Sep04	
68530	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Sep04	
68530	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		010		Sep04	
68530	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		010		Sep04	
68530	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		010		Sep04	
68530	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Sep04	
68530	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Sep04	
68530	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Sep04	
68530	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Sep04	
68530	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Sep04	
68530	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010		Sep04	
68530	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.714	1		010		Sep04	
68530	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		010		Sep04	
68530	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	5		010		Sep04	
68530	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	1		010		Sep04	
68530	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Sep04	
68530	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Sep04	
68530	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010		Sep04	
68530	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47	1		010		Sep04	
68530	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Sep04	
68530	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	20		010		Sep04	
68530	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		010		Sep04	
68530	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	30		010		Sep04	
68530	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		010		Sep04	
68540	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		5	090	ok	Apr06	J
68540	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68540	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
68540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
68540	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68540	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68540	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68540	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
68540	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
68550	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997		6	090	ok	Apr06	J
68550	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68550	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		6	090			
68550	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		72	090			
68550	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68550	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68550	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68550	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		180	090			
68550	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		200	090			
68700	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Mar03	10
68705	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
68705	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68705	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar03	10
68705	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
68705	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
68705	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
68705	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar03	10
68705	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar03	10
68705	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar03	10
68705	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	10
68705	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	10
68705	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		010		Mar03	10
68705	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar03	10
68705	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
68705	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
68705	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		010		Mar03	10
68705	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
68720	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
68720	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68720	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
68720	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
68720	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68720	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68720	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68720	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
68720	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
68745	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090	ok	Apr06	J
68745	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68745	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		4	090			
68745	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090			
68745	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68745	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68745	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68745	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		120	090			
68745	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		130	090			
68750	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4.5	090	ok	Apr06	J
68750	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.083		1	090			
68750	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		5	090			
68750	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		60	090			
68750	RUC	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.47		1	090			
68750	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081		20	090			
68750	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		1	090			
68750	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		150	090			
68750	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008		165	090			
68760	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68760	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar03	10
68760	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
68760	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
68760	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
68760	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.733	1		010		Mar03	10
68760	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	26	1		010		Mar03	10
68760	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar03	10
68760	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	10
68760	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	10
68760	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4		010		Mar03	10
68760	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar03	10
68760	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
68760	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
68760	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		010		Mar03	10
68760	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
68761	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68761	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar03	10
68761	RUC	"Wound Care, Dressings"	SG070	punctum plug	pair	40	0.5		010		Mar03	10
68761	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2		010		Mar03	10
68761	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
68770	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		4	090		Mar03	10
68801	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
68801	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	010		Mar03	10
68801	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		010		Mar03	10
68810	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
68810	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	010		Feb08	ss
68810	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar03	10
68810	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
68810	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	10
68810	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		010		Mar03	10
68810	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar03	10
68810	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
68810	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
68810	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		010		Mar03	10
68810	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
68811	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185		2	010		Mar03	10
68815	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		Mar03	10
68815	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	010		Mar03	10
68815	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		010		Mar03	10
68815	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		010		Mar03	10
68815	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	11.397	1		010		Mar03	10
68815	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.059	1		010		Mar03	10
68815	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		010		Mar03	10
68815	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		010		Mar03	10
68815	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		010		Mar03	10
68815	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		010		Mar03	10
68815	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		Mar03	10
68815	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		Mar03	10
68815	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
68815	RUC	"Accessory, Procedure"	SD179	lacrimal duct stent-tube set	item	74	1		010		Mar03	10
68815	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.336	2		010		Mar03	10
68815	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		010		Mar03	10
68815	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		010		Mar03	10
68815	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10		010		Mar03	10
68815	RUC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	3.813	1		010		Mar03	10
68815	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	0.5		010		Mar03	10
68815	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
68815	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
68815	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		010		Mar03	10
68815	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
68816	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		010		CPT08	I
68816	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	3	2	010		CPT08	I
68816	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		CPT08	I
68816	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		010		CPT08	I
68816	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	1		010		CPT08	I
68816	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		CPT08	I
68816	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		010		CPT08	I
68816	RUC	"Accessory, Procedure"	SD220	"catheter, balloon, lacrimal"	item	306	1		010		CPT08	I
68816	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		010		CPT08	I
68816	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		CPT08	I
68816	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		CPT08	I
68816	RUC	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	0.391	1		010		CPT08	I
68816	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		CPT08	I
68816	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		CPT08	I
68840	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	2	1	010		Mar03	10
68840	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		010		Mar03	10
68840	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		010		Mar03	10
68840	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6		010		Mar03	10
68840	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	2.95	1		010		Mar03	10
68840	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		010		Mar03	10
68840	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		010		Mar03	10
68840	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	5		010		Mar03	10
68840	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		010		Mar03	10
68850	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		000		Mar03	10
68850	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		Mar03	10
68850	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000		Mar03	10
68850	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4		000		Mar03	10
68850	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	1		000		Mar03	10
68850	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.6	1		000		Mar03	10
68850	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000		Mar03	10
69000	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
69000	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
69000	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		010			
69000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	2	010			
69000	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
69000	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
69000	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
69000	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
69000	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
69000	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
69000	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
69000	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		010			
69000	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		010			
69000	RUC	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	2		010			
69000	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
69000	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2	1	010			
69000	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69000	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10	10	010			
69000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	2	010			
69000	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	2		010			
69005	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1	1	010			
69005	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
69005	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	2	010			
69005	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		010			
69005	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		010			
69005	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		010			
69005	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		010			
69005	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		010			
69005	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		010			
69005	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		010			
69005	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	1		010			
69005	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		010			
69005	RUC	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4		010			
69005	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
69005	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2	1	010			
69005	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69005	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10	10	010			
69005	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	2	010			
69005	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	2		010			
69020	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		010			
69020	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69020	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	2	010			
69020	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
69020	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
69020	RUC	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.301	1		010			
69020	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2	1	010			
69020	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12	1		010			
69020	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	0.904	2	1	010			
69020	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
69020	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.006	4	2	010			
69020	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
69020	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69020	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10	10	010			
69020	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	4	2	010			
69020	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	2	010			
69020	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	4	2	010			
69020	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	2		010			
69100	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054	1		000			
69100	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
69100	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.993	1		000			
69100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000			
69100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
69100	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
69100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000			
69100	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		000			
69100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000			
69100	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		000			
69100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000			
69100	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1		000			
69100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
69100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
69100	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000			
69100	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000			
69100	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20		000			
69100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000			
69100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000			
69105	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
69105	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
69105	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
69105	RUC	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.301	1		000			
69105	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		000			
69105	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		000			
69105	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000			
69105	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	4		000			
69105	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	0.904	2		000			
69105	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.006	4		000			
69105	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
69105	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
69105	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
69105	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
69110	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	21
69110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3	2	090		Jan04	21
69110	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	21
69110	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Jan04	21
69110	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	21
69110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	090		Jan04	21
69110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	21
69110	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	21
69110	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Jan04	21
69110	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Jan04	21
69110	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Jan04	21
69110	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		090		Jan04	21
69110	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	1		090		Jan04	21
69110	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		090		Jan04	21
69110	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
69110	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
69110	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
69110	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Jan04	21
69110	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	2		090		Jan04	21
69110	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2	090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	3	2	090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	3	2	090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12	3	2	090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	90	60	090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		6	090		Jan04	21
69110	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	4		090		Jan04	21
69110	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Jan04	21
69110	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	10	5	090		Jan04	21
69110	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	3	2	090		Jan04	21
69110	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Jan04	21
69110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50	30	090		Jan04	21
69110	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
69110	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Jan04	21
69120	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69120	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2	090		Jan04	21
69120	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69120	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2	090		Jan04	21
69120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090		Jan04	21
69120	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		4	090		Jan04	21
69120	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2	090		Jan04	21
69120	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2	090		Jan04	21
69120	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		4	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		2	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		6	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090		Jan04	21
69120	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		2	090		Jan04	21
69120	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090		Jan04	21
69120	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		10	090		Jan04	21
69120	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2	090		Jan04	21
69120	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		20	090		Jan04	21
69120	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		10	090		Jan04	21
69120	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69120	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		2	090		Jan04	21
69140	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3.5	090		Jan04	21
69140	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3.5	090		Jan04	21
69140	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69140	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69140	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69140	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69140	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69140	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69140	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69140	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69140	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69140	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69140	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69140	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69140	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69140	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69140	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69140	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69140	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69145	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	21
69145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2.5	1.5	090		Jan04	21
69145	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	21
69145	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Jan04	21
69145	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	21
69145	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	090		Jan04	21
69145	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		090		Jan04	21
69145	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		090		Jan04	21
69145	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	10.2425	1		090		Jan04	21
69145	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Jan04	21
69145	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Jan04	21
69145	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	090		Jan04	21
69145	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	090		Jan04	21
69145	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	090		Jan04	21
69145	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.337	1		090		Jan04	21
69145	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
69145	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
69145	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
69145	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1	1	090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772	2	1	090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06	2	1	090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12	2	1	090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		4	090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	0.904	1		090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	60	30	090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		6	090		Jan04	21
69145	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	8	4	090		Jan04	21
69145	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Jan04	21
69145	RUC	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.354	10		090		Jan04	21
69145	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	10	5	090		Jan04	21
69145	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2.5	1.5	090		Jan04	21
69145	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		10	090		Jan04	21
69145	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	50	30	090		Jan04	21
69145	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
69145	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		090		Jan04	21
69150	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69150	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69150	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69150	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69150	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69150	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69150	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69150	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69150	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69150	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69150	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69150	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69150	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69150	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69150	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69150	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69150	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69155	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69155	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		5	090		Jan04	21
69155	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69155	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		5	090		Jan04	21
69155	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090		Jan04	21
69155	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		10	090		Jan04	21
69155	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090		Jan04	21
69155	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Jan04	21
69155	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		10	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		5	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090		Jan04	21
69155	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		5	090		Jan04	21
69155	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090		Jan04	21
69155	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090		Jan04	21
69155	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Jan04	21
69155	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Jan04	21
69155	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090		Jan04	21
69155	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69155	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		5	090		Jan04	21
69200	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		000			
69200	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
69200	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
69200	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
69200	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		000			
69200	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	0.904	1		000			
69200	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.006	2		000			
69200	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
69200	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
69205	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
69205	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
69205	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
69205	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03		1	010			
69210	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 17
69210	RUC	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.919	2		000		CPT14	May 17
69210	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000		CPT14	May 17
69210	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT14	May 17
69210	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		000		CPT14	May 17
69220	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		000		CPT12	5 Year
69220	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		CPT12	5 Year
69220	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	5 Year
69220	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT12	5 Year
69220	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000		CPT12	5 Year
69220	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		000		CPT12	5 Year
69220	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.006	2		000		CPT12	5 Year
69220	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT12	5 Year
69220	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	2		000		CPT12	5 Year
69220	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000		CPT12	5 Year
69222	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69222	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	2	010			
69222	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
69222	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
69222	RUC	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.301	1		010			
69222	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2	1	010			
69222	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12	1		010			
69222	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
69222	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.006	4	2	010			
69222	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
69222	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69222	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10	10	010			
69222	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	4	2	010			
69222	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	2	010			
69222	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	4	2	010			
69222	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	2		010			
69222	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
69300	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Feb05	
69300	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		090		Feb05	
69300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Feb05	
69300	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Feb05	
69300	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		090	88170	Feb05	
69300	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		090		Feb05	
69300	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	1.892	1		090		Feb05	
69300	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Feb05	
69300	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Feb05	
69300	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		090		Feb05	
69300	RUC	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	4.291	1		090		Feb05	
69300	RUC	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	8.76	2		090		Feb05	
69300	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		090		Feb05	
69300	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	25		090		Feb05	
69300	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	12		090		Feb05	
69300	RUC	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4		090		Feb05	
69300	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.556	2		090		Feb05	
69300	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12	1		090		Feb05	
69300	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090	88170	Feb05	
69300	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	10		090		Feb05	
69300	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		090		Feb05	
69300	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.011	1		090		Feb05	
69300	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		090		Feb05	
69300	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		090		Feb05	
69310	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
69310	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69310	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69310	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69310	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69310	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69310	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69310	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69310	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69310	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69310	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69310	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69310	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69310	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69310	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69310	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69310	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69310	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69310	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69320	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		5	090		Jan04	21
69320	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		5	090		Jan04	21
69320	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69320	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		5	090		Jan04	21
69320	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69320	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		5	090		Jan04	21
69320	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090		Jan04	21
69320	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		10	090		Jan04	21
69320	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090		Jan04	21
69320	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Jan04	21
69320	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		10	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		5	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090		Jan04	21
69320	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		5	090		Jan04	21
69320	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090		Jan04	21
69320	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090		Jan04	21
69320	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Jan04	21
69320	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Jan04	21
69320	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090		Jan04	21
69320	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69320	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		5	090		Jan04	21
69420	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		010			
69420	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
69420	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
69420	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
69420	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2	1	010			
69420	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69420	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
69420	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		010			
69421	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		1	010			
69421	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
69421	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
69421	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004		1	010			
69421	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
69424	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		000			
69424	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000			
69424	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
69424	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
69424	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
69424	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		000			
69424	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
69424	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		000			
69433	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		010			
69433	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69433	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
69433	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
69433	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
69433	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2	1	010			
69433	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69433	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
69433	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		010			
69436	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		1	010			
69436	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		2	010			
69436	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45		2	010			
69436	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03		1	010			
69440	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3	090		Jan04	21
69440	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69440	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69440	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69440	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69440	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69440	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69440	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69440	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69440	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69440	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69440	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69440	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69440	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69440	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69440	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69440	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69440	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69450	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		2.5	090		Jan04	21
69450	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69450	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		2.5	090		Jan04	21
69450	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69450	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		2.5	090		Jan04	21
69450	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090		Jan04	21
69450	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		5	090		Jan04	21
69450	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		2.5	090		Jan04	21
69450	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		2.5	090		Jan04	21
69450	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		5	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		2.5	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		8	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090		Jan04	21
69450	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		2.5	090		Jan04	21
69450	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090		Jan04	21
69450	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		12.5	090		Jan04	21
69450	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		2.5	090		Jan04	21
69450	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		25	090		Jan04	21
69450	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		12.5	090		Jan04	21
69450	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69450	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		2.5	090		Jan04	21
69501	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69501	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69501	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69501	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69501	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69501	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69501	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69501	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69501	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69501	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69501	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69501	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69501	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69501	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69501	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69501	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69501	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69502	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69502	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69502	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69502	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69502	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69502	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69502	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69502	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69502	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69502	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69502	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69502	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69502	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69502	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69502	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69502	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69502	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69505	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
69505	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69505	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69505	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69505	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69505	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69505	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69505	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69505	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69505	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69505	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69505	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69505	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69505	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69505	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69505	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69505	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69505	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69505	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69511	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
69511	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69511	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69511	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69511	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69511	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69511	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69511	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69511	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69511	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69511	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69511	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69511	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69511	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69511	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69511	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69511	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69511	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69511	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69530	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4.5	090		Jan04	21
69530	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69530	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69530	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69530	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69530	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69530	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69530	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69530	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69530	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69530	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69530	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69530	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69530	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69530	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69530	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69530	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69530	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69535	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		5	090		Jan04	21
69535	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		5	090		Jan04	21
69535	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69535	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		5	090		Jan04	21
69535	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69535	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		5	090		Jan04	21
69535	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090		Jan04	21
69535	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		10	090		Jan04	21
69535	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090		Jan04	21
69535	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Jan04	21
69535	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		10	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		5	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090		Jan04	21
69535	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		5	090		Jan04	21
69535	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090		Jan04	21
69535	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090		Jan04	21
69535	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Jan04	21
69535	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Jan04	21
69535	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090		Jan04	21
69535	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69535	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		5	090		Jan04	21
69540	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69540	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2	2	010			
69540	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
69540	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
69540	RUC	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.301	1		010			
69540	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2	1	010			
69540	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12	1		010			
69540	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	0.904	2	1	010			
69540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		010			
69540	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.006	4	2	010			
69540	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		010			
69540	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69540	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10	10	010			
69540	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	4	2	010			
69540	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2	2	010			
69540	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	4	2	010			
69540	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	2		010			
69540	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		010			
69550	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		3.5	090		Jan04	21
69550	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3.5	090		Jan04	21
69550	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69550	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69550	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69550	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69550	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69550	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69550	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69550	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69550	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69550	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69550	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69550	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69550	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69550	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69550	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69550	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69550	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69552	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
69552	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69552	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69552	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69552	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69552	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69552	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69552	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69552	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69552	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69552	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69552	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69552	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69552	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69552	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69552	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69552	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69552	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69552	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69554	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
69554	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69554	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69554	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69554	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69554	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69554	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69554	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69554	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69554	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69554	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69554	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69554	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69554	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69554	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69554	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69554	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69554	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69554	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69601	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69601	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69601	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69601	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69601	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69601	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69601	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69601	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69601	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69601	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69601	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69601	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69601	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69601	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69601	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69601	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69601	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69602	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69602	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69602	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69602	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69602	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69602	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69602	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69602	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69602	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69602	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69602	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69602	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69602	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69602	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69602	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69602	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69602	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69602	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69603	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
69603	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69603	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69603	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69603	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69603	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69603	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69603	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69603	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69603	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69603	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69603	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69603	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69603	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69603	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69603	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69603	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69603	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69603	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69604	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69604	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69604	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69604	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69604	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69604	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69604	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69604	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69604	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69604	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69604	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69604	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69604	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69604	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69604	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69604	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69604	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69604	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69605	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4.5	090		Jan04	21
69605	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69605	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69605	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69605	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69605	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69605	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69605	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69605	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69605	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69605	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69605	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69605	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69605	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69605	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69605	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69605	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69610	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		010			
69610	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		010			
69610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2	1	010			
69610	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	010			
69610	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	010			
69610	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2	1	010			
69610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		010			
69610	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		010			
69610	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		010			
69620	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	15.152	1		090		Jan04	21
69620	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062	2	1	090		Jan04	21
69620	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	2		090		Jan04	21
69620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4	3	090		Jan04	21
69620	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1	1	090		Jan04	21
69620	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		090		Jan04	21
69620	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	21
69620	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	4		090		Jan04	21
69620	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3	1	090		Jan04	21
69620	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	090		Jan04	21
69620	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3	1	090		Jan04	21
69620	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		090		Jan04	21
69620	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		090		Jan04	21
69620	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	2	1	090		Jan04	21
69620	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	1.116	2	1	090		Jan04	21
69620	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	4	2	090		Jan04	21
69620	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.419	1		090		Jan04	21
69620	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.638	1		090		Jan04	21
69620	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		090		Jan04	21
69620	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		090		Jan04	21
69620	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.401	1		090		Jan04	21
69620	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6	2	090		Jan04	21
69620	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	21
69620	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	3	1	090		Jan04	21
69620	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		090		Jan04	21
69620	RUC	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.354	10	5	090		Jan04	21
69620	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		090		Jan04	21
69620	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2	1	090		Jan04	21
69620	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	20		090		Jan04	21
69620	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		090		Jan04	21
69620	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	2	1	090		Jan04	21
69631	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69631	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69631	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69631	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69631	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69631	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69631	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69631	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69631	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69631	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69631	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69631	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69631	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69631	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69631	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69631	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69631	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69631	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69632	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69632	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69632	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69632	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69632	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69632	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69632	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69632	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69632	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69632	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69632	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69632	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69632	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69632	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69632	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69632	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69632	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69632	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69633	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69633	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69633	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69633	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69633	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69633	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69633	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69633	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69633	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69633	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69633	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69633	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69633	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69633	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69633	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69633	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69633	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69633	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69635	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4	090		Jan04	21
69635	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69635	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69635	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69635	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69635	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69635	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69635	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69635	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69635	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69635	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69635	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69635	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69635	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69635	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69635	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69635	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69635	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69635	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69636	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4.5	090		Jan04	21
69636	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69636	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69636	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69636	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69636	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69636	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69636	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69636	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69636	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69636	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69636	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69636	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69636	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69636	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69636	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69636	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69636	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69636	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69637	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4.5	090		Jan04	21
69637	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69637	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69637	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69637	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69637	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69637	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69637	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69637	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69637	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69637	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69637	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69637	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69637	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69637	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69637	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69637	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69637	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69637	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69641	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69641	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69641	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69641	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69641	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69641	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69641	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69641	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69641	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69641	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69641	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69641	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69641	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69641	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69641	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69641	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69641	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69641	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69642	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		5	090		Jan04	21
69642	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69642	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		5	090		Jan04	21
69642	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69642	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		5	090		Jan04	21
69642	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090		Jan04	21
69642	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		10	090		Jan04	21
69642	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		5	090		Jan04	21
69642	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		5	090		Jan04	21
69642	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		10	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		5	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		18	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090		Jan04	21
69642	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		5	090		Jan04	21
69642	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090		Jan04	21
69642	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		25	090		Jan04	21
69642	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		5	090		Jan04	21
69642	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		50	090		Jan04	21
69642	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		25	090		Jan04	21
69642	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69642	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		5	090		Jan04	21
69643	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69643	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69643	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69643	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69643	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69643	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69643	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69643	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69643	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69643	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69643	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69643	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69643	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69643	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69643	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69643	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69643	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69643	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69644	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4.5	090		Jan04	21
69644	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69644	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69644	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69644	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69644	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69644	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69644	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69644	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69644	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69644	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69644	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69644	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69644	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69644	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69644	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69644	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69644	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69644	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69645	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4.5	090		Jan04	21
69645	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69645	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69645	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69645	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69645	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69645	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69645	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69645	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69645	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69645	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69645	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69645	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69645	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69645	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69645	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69645	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69645	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69645	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69646	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.062		4.5	090		Jan04	21
69646	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69646	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69646	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69646	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69646	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69646	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69646	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69646	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69646	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69646	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69646	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69646	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69646	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69646	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69646	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69646	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69646	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69646	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69650	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3	090		Jan04	21
69650	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69650	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69650	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69650	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69650	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69650	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69650	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69650	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69650	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69650	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69650	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69650	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69650	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69650	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69650	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69650	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69650	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69660	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3	090		Jan04	21
69660	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69660	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69660	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69660	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69660	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69660	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69660	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69660	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69660	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69660	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69660	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69660	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69660	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69660	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69660	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69660	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69660	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69661	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69661	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69661	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69661	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69661	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69661	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69661	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69661	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69661	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69661	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69661	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69661	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69661	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69661	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69661	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69661	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69661	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69661	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69662	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3.5	090		Jan04	21
69662	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69662	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69662	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69662	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69662	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69662	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69662	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69662	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69662	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69662	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69662	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69662	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69662	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69662	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69662	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69662	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69662	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69666	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3	090		Jan04	21
69666	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69666	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69666	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69666	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69666	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69666	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69666	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69666	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69666	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69666	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69666	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69666	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69666	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69666	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69666	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69666	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69666	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69667	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3	090		Jan04	21
69667	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69667	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69667	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69667	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69667	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69667	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69667	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69667	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69667	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69667	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69667	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69667	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69667	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69667	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69667	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69667	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69667	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69670	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3.5	090		Jan04	21
69670	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69670	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69670	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69670	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69670	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69670	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69670	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69670	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69670	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69670	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69670	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69670	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69670	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69670	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69670	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69670	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69670	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69676	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3.5	090		Jan04	21
69676	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69676	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69676	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69676	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69676	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69676	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69676	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69676	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69676	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69676	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69676	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69676	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69676	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69676	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69676	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69676	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69676	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69700	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69700	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69700	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69700	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69700	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69700	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69700	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69700	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69700	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69700	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69700	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69700	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69700	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69700	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69700	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69700	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69700	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69711	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69711	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69711	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69711	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69711	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69711	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69711	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69711	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69711	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69711	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69711	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69711	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69711	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69711	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69711	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69711	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69711	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69714	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69714	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69714	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69714	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69714	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69714	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69714	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69714	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69714	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69714	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69714	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69714	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69714	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69714	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69714	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69714	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69714	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69715	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69715	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69715	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69715	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69715	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69715	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69715	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69715	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69715	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69715	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69715	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69715	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69715	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69715	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69715	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69715	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69715	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69717	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69717	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69717	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69717	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69717	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69717	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69717	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69717	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69717	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69717	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69717	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69717	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69717	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69717	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69717	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69717	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69717	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69718	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69718	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69718	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69718	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69718	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69718	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69718	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69718	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69718	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69718	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69718	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69718	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69718	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69718	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69718	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69718	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69718	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69720	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4.5	090		Jan04	21
69720	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69720	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4.5	090		Jan04	21
69720	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69720	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4.5	090		Jan04	21
69720	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090		Jan04	21
69720	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		9	090		Jan04	21
69720	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4.5	090		Jan04	21
69720	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4.5	090		Jan04	21
69720	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		9	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4.5	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		16	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090		Jan04	21
69720	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4.5	090		Jan04	21
69720	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090		Jan04	21
69720	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		22.5	090		Jan04	21
69720	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4.5	090		Jan04	21
69720	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		45	090		Jan04	21
69720	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		22.5	090		Jan04	21
69720	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69720	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4.5	090		Jan04	21
69725	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69725	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69725	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69725	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69725	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69725	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69725	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69725	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69725	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69725	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69725	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69725	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69725	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69725	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69725	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69725	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69725	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69725	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69740	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3	090		Jan04	21
69740	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69740	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69740	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69740	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69740	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69740	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69740	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69740	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69740	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69740	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69740	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69740	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69740	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69740	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69740	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69740	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69740	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69745	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3.5	090		Jan04	21
69745	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69745	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69745	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69745	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69745	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69745	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69745	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69745	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69745	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69745	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69745	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69745	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69745	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69745	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69745	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69745	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69745	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69801	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		000		CPT11	35
69801	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	35
69801	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		CPT11	35
69801	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT11	35
69801	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	35
69801	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000		CPT11	35
69801	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		000		CPT11	35
69801	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		000		CPT11	35
69801	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	35
69801	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		CPT11	35
69801	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	7.5566	1		000		CPT11	35
69801	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	1		000		CPT11	35
69801	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	1		000		CPT11	35
69801	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000		CPT11	35
69801	RUC	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.1354	1		000		CPT11	35
69801	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	35
69801	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		CPT11	35
69801	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.14	1		000		CPT11	35
69805	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69805	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69805	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69805	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69805	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69805	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69805	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69805	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69805	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69805	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69805	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69805	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69805	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69805	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69805	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69805	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69805	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69806	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69806	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69806	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69806	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69806	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69806	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69806	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69806	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69806	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69806	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69806	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69806	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69806	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69806	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69806	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69806	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69806	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69820	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69820	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69820	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69820	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69820	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69820	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69820	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69820	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69820	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69820	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69820	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69820	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69820	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69820	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69820	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69820	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69820	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69840	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69840	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69840	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69840	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69840	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69840	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69840	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69840	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69840	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69840	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69840	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69840	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69840	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69840	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69840	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69840	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69840	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69840	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69905	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3.5	090		Jan04	21
69905	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69905	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69905	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69905	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69905	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69905	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69905	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69905	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69905	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69905	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69905	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69905	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69905	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69905	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69905	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69905	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69905	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69910	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69910	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3.5	090		Jan04	21
69910	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69910	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3.5	090		Jan04	21
69910	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090		Jan04	21
69910	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		7	090		Jan04	21
69910	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3.5	090		Jan04	21
69910	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3.5	090		Jan04	21
69910	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		7	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3.5	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		12	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090		Jan04	21
69910	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3.5	090		Jan04	21
69910	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090		Jan04	21
69910	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		17.5	090		Jan04	21
69910	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3.5	090		Jan04	21
69910	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		35	090		Jan04	21
69910	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		17.5	090		Jan04	21
69910	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69910	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3.5	090		Jan04	21
69915	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69915	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69915	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69915	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69915	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69915	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69915	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69915	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69915	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69915	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69915	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69915	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69915	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69915	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69915	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69915	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69915	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69930	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		3	090		Jan04	21
69930	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69930	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69930	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69930	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69930	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69930	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69930	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69930	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69930	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69930	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69930	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69930	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69930	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69930	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69930	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69930	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69930	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69950	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69950	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		3	090		Jan04	21
69950	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69950	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		3	090		Jan04	21
69950	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090		Jan04	21
69950	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		6	090		Jan04	21
69950	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		3	090		Jan04	21
69950	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		3	090		Jan04	21
69950	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		6	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		3	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		10	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090		Jan04	21
69950	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		3	090		Jan04	21
69950	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090		Jan04	21
69950	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		15	090		Jan04	21
69950	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		3	090		Jan04	21
69950	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		30	090		Jan04	21
69950	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		15	090		Jan04	21
69950	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69950	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		3	090		Jan04	21
69955	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69955	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69955	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69955	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69955	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69955	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69955	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69955	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69955	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69955	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		78	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69955	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69955	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69955	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69955	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69955	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69955	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69955	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		2	090		Jan04	21
69955	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69960	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69960	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69960	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69960	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69960	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69960	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69960	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69960	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69960	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69960	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69960	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69960	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69960	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69960	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69960	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69960	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69960	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
69970	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339		4	090		Jan04	21
69970	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	6.11		1	090		Jan04	21
69970	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688		4	090		Jan04	21
69970	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		1	090		Jan04	21
69970	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533		4	090		Jan04	21
69970	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090		Jan04	21
69970	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199		8	090		Jan04	21
69970	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23		4	090		Jan04	21
69970	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908		4	090		Jan04	21
69970	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795		8	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.772		1	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	1.06		1	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773		4	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12		1	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159		14	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		48	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090		Jan04	21
69970	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215		4	090		Jan04	21
69970	RUC	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090		Jan04	21
69970	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091		20	090		Jan04	21
69970	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216		4	090		Jan04	21
69970	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003		40	090		Jan04	21
69970	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		20	090		Jan04	21
69970	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.32		1	090		Jan04	21
69970	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56		4	090		Jan04	21
70030	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70134	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70140	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70150	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70160	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70190	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70200	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70210	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70240	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70250	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70260	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70300	RUC	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	1		XXX		Jan04	8
70310	RUC	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	12		XXX		Jan04	8
70320	RUC	"Office Supply, Grocery"	SK024	"film, dental"	item	0.959	16		XXX		Jan04	8
70336	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70360	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70370	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
70370	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	1		XXX		Jan04	7
70371	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
70371	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	1		XXX		Jan04	7
70371	RUC	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.745	2		XXX		Jan04	7
70373	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
70373	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	1		XXX		Jan04	7
70373	RUC	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.745	2		XXX		Jan04	7
70380	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70390	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
70450	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Nov 3
70450	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	Nov 3
70460	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	Nov 3
70460	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Nov 3
70460	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	Nov 3
70460	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Nov 3
70460	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	Nov 3
70460	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	Nov 3
70460	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	Nov 3
70460	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	Nov 3
70460	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Nov 3
70460	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	Nov 3
70460	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	Nov 3
70460	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT14	Nov 3
70460	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT14	Nov 3
70460	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	Nov 3
70460	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT14	Nov 3
70460	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	Nov 3
70470	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	Nov 3
70470	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Nov 3
70470	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	Nov 3
70470	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Nov 3
70470	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	Nov 3
70470	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	Nov 3
70470	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	Nov 3
70470	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	Nov 3
70470	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Nov 3
70470	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	Nov 3
70470	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	Nov 3
70470	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT14	Nov 3
70470	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT14	Nov 3
70470	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	Nov 3
70470	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT14	Nov 3
70470	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	Nov 3
70480	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70480	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70481	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
70481	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
70481	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
70481	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70481	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70481	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
70481	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
70481	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
70481	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
70481	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
70481	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
70481	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
70481	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
70481	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
70481	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
70481	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
70482	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
70482	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
70482	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
70482	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70482	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70482	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
70482	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
70482	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
70482	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
70482	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
70482	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
70482	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
70482	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
70482	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
70482	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
70482	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
70486	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	70486	May 2014	May 53
70486	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	70486	May 2014	May 53
70487	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	70487	May 2014	May 53
70487	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	70487	May 2014	May 53
70487	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	70487	May 2014	May 53
70488	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	70488	May 2014	May 53
70488	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	70488	May 2014	May 53
70488	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	70488	May 2014	May 53
70490	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70490	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70491	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
70491	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
70491	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
70491	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70491	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70491	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
70491	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
70491	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
70491	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
70491	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
70491	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
70491	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
70491	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
70491	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
70491	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
70491	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
70492	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
70492	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
70492	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
70492	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70492	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70492	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
70492	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
70492	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
70492	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
70492	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
70492	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
70492	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
70492	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
70492	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
70492	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
70492	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
70496		"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.06	1		XXX	70496	May 2014	May 51
70496	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	70496	May 2014	May 51
70496	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	70496	May 2014	May 51
70496		"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	3		XXX	70496	May 2014	May 51
70496		"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX	70496	May 2014	May 51
70496		"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX	70496	May 2014	May 51
70496		"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX	70496	May 2014	May 51
70496		"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		XXX	70496	May 2014	May 51
70496		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX	70496	May 2014	May 51
70496		"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX	70496	May 2014	May 51
70496		"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX	70496	May 2014	May 51
70498	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.06	1		XXX	70498	May 2014	May 51
70498	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	70498	May 2014	May 51
70498	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	70498	May 2014	May 51
70498	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	3		XXX	70498	May 2014	May 51
70498	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX	70498	May 2014	May 51
70498	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX	70498	May 2014	May 51
70498	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX	70498	May 2014	May 51
70498	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		XXX	70498	May 2014	May 51
70498	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX	70498	May 2014	May 51
70498	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX	70498	May 2014	May 51
70498	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX	70498	May 2014	May 51
70540	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70542	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
70542	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
70542	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
70542	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70542	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70542	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
70542	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
70542	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
70542	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
70542	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
70542	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
70542	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
70542	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
70542	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
70542	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
70542	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
70542	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
70543	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
70543	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
70543	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
70543	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
70543	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
70543	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
70543	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
70543	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
70543	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
70543	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
70543	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
70543	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
70543	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
70543	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
70543	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
70543	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
70543	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
70544	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.061	1		XXX			
70544	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70544	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
70545	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.061	1		XXX			
70545	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
70545	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
70545	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX			
70545	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		XXX			
70545	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX			
70545	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
70545	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX			
70545	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70545	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
70545	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
70546	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.061	1		XXX			
70546	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
70546	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
70546	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX			
70546	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		XXX			
70546	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX			
70546	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
70546	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX			
70546	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70546	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
70546	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
70547	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.061	1		XXX			
70547	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70547	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
70548	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.061	1		XXX			
70548	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
70548	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
70548	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX			
70548	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		XXX			
70548	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX			
70548	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
70548	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX			
70548	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70548	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
70548	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
70549	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.061	1		XXX			
70549	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
70549	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
70549	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX			
70549	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	2		XXX			
70549	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX			
70549	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
70549	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX			
70549	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
70549	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
70549	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
70551	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Mar 8
70551	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	Mar 8
70551	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	Mar 8
70552	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	Mar 8
70552	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Mar 8
70552	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	Mar 8
70552	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Mar 8
70552	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	Mar 8
70552	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	Mar 8
70552	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	Mar 8
70552	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	Mar 8
70552	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Mar 8
70552	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	Mar 8
70552	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	Mar 8
70552	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	Mar 8
70552	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	Mar 8
70553	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	Mar 8
70553	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Mar 8
70553	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	Mar 8
70553	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Mar 8
70553	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	Mar 8
70553	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	Mar 8
70553	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	Mar 8
70553	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	Mar 8
70553	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Mar 8
70553	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	Mar 8
70553	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	Mar 8
70553	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	Mar 8
70553	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	Mar 8
70554	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT07	
70554	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT07	
70554	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT07	
71010	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71015	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71020	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71021	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71023	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
71030	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71034	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
71035	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71100	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71101	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71110	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71111	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71120	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71130	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71250	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71250	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
71260	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
71260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
71260	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
71260	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71260	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
71260	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
71260	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
71260	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
71260	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
71260	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
71260	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
71260	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2		XXX		Aug03	7
71260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
71260	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
71260	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
71260	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
71270	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
71270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
71270	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
71270	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71270	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
71270	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
71270	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
71270	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
71270	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
71270	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
71270	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
71270	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2		XXX		Aug03	7
71270	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
71270	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
71270	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
71270	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
71275	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.06	1		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	3		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX	"74175, 71275"	March 2014	March 7
71275	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX	"74175, 71275"	March 2014	March 7
71550	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
71551	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
71551	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
71551	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
71551	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71551	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
71551	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
71551	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
71551	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
71551	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
71551	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
71551	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
71551	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
71551	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
71551	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
71551	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
71551	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
71551	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
71552	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
71552	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
71552	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
71552	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71552	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
71552	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
71552	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
71552	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
71552	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
71552	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
71552	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
71552	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
71552	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
71552	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
71552	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
71552	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
71552	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
71555	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
71555	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
71555	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
71555	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
71555	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
71555	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
71555	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
71555	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
71555	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
71555	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
71555	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
71555	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
71555	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
71555	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
71555	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
71555	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72010	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72020	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72040	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 22
72050	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 22
72052	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 22
72069	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
72070	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72072	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72074	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72080	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72090	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72100	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT12	May 18
72100	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	2		XXX		CPT12	May 18
72110	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT12	May 18
72110	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	4		XXX		CPT12	May 18
72114	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT12	May 18
72114	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	6		XXX		CPT12	May 18
72120	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	3		XXX		CPT12	May 18
72125	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72125	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72126	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72126	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72126	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72126	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72126	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72126	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72126	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72126	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72126	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
72126	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72126	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72126	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2		XXX		Aug03	7
72126	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72126	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72126	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72126	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72127	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72127	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72127	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72127	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72127	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72127	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72127	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72127	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72127	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
72127	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72127	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72127	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2		XXX		Aug03	7
72127	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72127	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72127	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72127	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72128	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72128	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72129	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72129	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72129	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72129	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72129	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72129	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72129	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72129	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72129	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
72129	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72129	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72129	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2		XXX		Aug03	7
72129	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72129	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72129	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72129	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72130	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72130	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72130	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72130	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72130	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72130	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72130	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72130	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72130	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
72130	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72130	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72130	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2		XXX		Aug03	7
72130	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72130	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72130	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72130	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72131	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72131	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72132	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72132	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72132	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72132	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72132	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72132	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72132	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72132	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72132	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
72132	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72132	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72132	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
72132	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72132	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72132	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72132	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72133	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72133	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72133	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72133	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72133	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72133	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72133	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72133	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72133	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
72133	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72133	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72133	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
72133	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72133	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72133	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72133	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72141	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72141	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72141	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72142	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	May 38
72142	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	6.824	1		XXX			
72142	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 38
72142	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 38
72142	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72142	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72142	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	May 38
72142	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	May 38
72142	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 38
72142	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	May 38
72142	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	May 38
72142	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	May 38
72142	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	May 38
72142	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72146	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72146	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72146	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72147	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	May 38
72147	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	6.824	1		XXX			
72147	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 38
72147	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 38
72147	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72147	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72147	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	May 38
72147	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	May 38
72147	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 38
72147	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	May 38
72147	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	May 38
72147	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	May 38
72147	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	May 38
72147	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72148	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72148	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72148	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72149	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	May 38
72149	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	6.824	1		XXX			
72149	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 38
72149	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 38
72149	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72149	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72149	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	May 38
72149	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	May 38
72149	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 38
72149	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	May 38
72149	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	May 38
72149	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	May 38
72149	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	May 38
72149	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72149	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 38
72156	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	May 38
72156	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	6.824	1		XXX			
72156	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 38
72156	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 38
72156	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72156	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72156	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	May 38
72156	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	May 38
72156	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 38
72156	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT14	May 38
72156	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	May 38
72156	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	May 38
72156	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	May 38
72156	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72157	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	May 38
72157	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	6.824	1		XXX			
72157	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 38
72157	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 38
72157	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72157	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72157	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	May 38
72157	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	May 38
72157	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 38
72157	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT14	May 38
72157	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	May 38
72157	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	May 38
72157	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	May 38
72157	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72157	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 38
72158	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	May 38
72158	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	6.824	1		XXX			
72158	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 38
72158	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 38
72158	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 38
72158	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	May 38
72158	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	May 38
72158	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	May 38
72158	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 38
72158	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT14	May 38
72158	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	May 38
72158	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	May 38
72158	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	May 38
72158	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT14	May 38
72158	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 38
72159	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72159	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72159	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72159	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72159	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72159	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72159	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72159	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72159	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72159	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72159	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
72159	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72159	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72159	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
72159	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72159	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72170	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT12	May 35
72190	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72191	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.06	1		XXX	72191	November 2013	November 3
72191	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	72191	November 2013	November 3
72191	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	72191	November 2013	November 3
72191	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	3		XXX	72191	November 2013	November 3
72191	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX	72191	November 2013	November 3
72191	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX	72191	November 2013	November 3
72191	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX	72191	November 2013	November 3
72191	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		XXX	72191	November 2013	November 3
72191	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX	72191	November 2013	November 3
72191	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX	72191	November 2013	November 3
72192	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
72192	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
72193	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT13	May 49
72193	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		XXX		CPT13	May 49
72193	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 49
72193	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
72193	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
72193	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	11.272	1		XXX		CPT13	May 49
72193	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 49
72193	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 49
72193	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Final
72193	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 49
72193	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX		CPT13	May 49
72193	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 49
72193	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT13	May 49
72193	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX		CPT13	May 49
72193	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT13	May 49
72193	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 49
72194	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT13	May 49
72194	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		XXX		CPT13	May 49
72194	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 49
72194	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
72194	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
72194	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	11.272	1		XXX		CPT13	May 49
72194	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 49
72194	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 49
72194	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Final
72194	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 49
72194	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 49
72194	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT13	May 49
72194	CMS	"Wound Care, Dressings"	SG059	oto-wick	item	0.904	1		XXX		CPT13	May 49
72194	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX		CPT13	May 49
72194	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	15		XXX		CPT13	May 49
72194	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT13	May 49
72194	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 49
72194	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX		CPT13	May 49
72195	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
72196	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72196	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72196	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72196	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72196	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72196	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72196	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72196	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72196	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
72196	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72196	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72196	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
72196	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72196	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72196	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
72196	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72196	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72197	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72197	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72197	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72197	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72197	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72197	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72197	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72197	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72197	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
72197	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72197	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72197	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
72197	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72197	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72197	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
72197	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72197	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72198	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
72198	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
72198	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
72198	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72198	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
72198	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
72198	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
72198	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
72198	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
72198	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
72198	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
72198	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
72198	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
72198	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
72198	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
72198	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
72200	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72202	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
72220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73000	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73010	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73020	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73030	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT12	May 36
73050	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73060	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73070	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73080	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73090	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73092	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73100	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73110	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73120	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73130	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73140	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73200	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73200	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73201	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73201	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73201	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73201	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73201	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73201	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73201	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73201	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73201	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73201	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73201	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73201	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73201	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73201	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73201	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73201	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73202	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73202	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73202	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73202	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73202	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73202	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73202	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73202	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73202	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73202	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73202	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73202	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73202	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73202	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73202	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73202	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73206	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
73206	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
73206	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
73206	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX			
73206	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
73206	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX			
73206	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX			
73206	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
73206	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
73206	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	0.34		XXX			
73206	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
73218	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
73219	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73219	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73219	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73219	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73219	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73219	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73219	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73219	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73219	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73219	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73219	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73219	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73219	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73219	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73219	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73219	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73219	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73220	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73220	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73220	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73220	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73220	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73220	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73220	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73220	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
73220	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73220	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73220	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73220	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73220	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73220	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73220	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73220	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73221	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	Mar 7
73221	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT13	Mar 7
73221	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT13	Mar 7
73222	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73222	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73222	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73222	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73222	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73222	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73222	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73222	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73222	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73222	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73222	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73222	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73222	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73222	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73222	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73222	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73222	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73223	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73223	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73223	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73223	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73223	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73223	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73223	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73223	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73223	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
73223	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73223	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73223	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73223	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73223	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73223	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73223	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73223	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73225	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73225	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73225	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73225	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73225	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73225	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73225	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73225	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73225	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73225	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73225	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73225	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73225	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73225	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73225	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73225	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73500	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73510	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73520	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
73540	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73550	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
73560	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73562	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73564	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73565	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73590	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73592	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
73600	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73610	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73620	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT12	May 37
73630	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73650	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73660	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73700	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73700	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73701	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73701	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73701	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73701	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73701	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73701	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73701	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73701	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73701	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73701	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73701	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73701	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73701	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73701	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73701	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73701	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73702	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73702	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73702	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73702	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73702	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73702	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73702	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73702	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73702	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73702	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73702	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73702	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73702	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73702	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73702	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73702	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73706	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
73706	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
73706	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
73706	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX			
73706	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
73706	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX			
73706	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX			
73706	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
73706	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
73706	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	0.34		XXX			
73706	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
73718	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
73719	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73719	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73719	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73719	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73719	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73719	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73719	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73719	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73719	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73719	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73719	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73719	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73719	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73719	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73719	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73719	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73719	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73720	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73720	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73720	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73720	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73720	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73720	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73720	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73720	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73720	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
73720	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73720	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73720	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73720	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73720	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73720	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73720	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73720	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73721	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	Mar 7
73721	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT13	Mar 7
73721	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT13	Mar 7
73722	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73722	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73722	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73722	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73722	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73722	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73722	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73722	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73722	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
73722	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73722	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73722	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73722	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73722	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73722	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73722	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73722	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73723	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73723	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73723	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73723	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73723	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73723	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73723	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73723	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73723	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
73723	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73723	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73723	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73723	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73723	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73723	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73723	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73723	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
73725	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
73725	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
73725	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
73725	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
73725	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
73725	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
73725	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
73725	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
73725	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
73725	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
73725	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
73725	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
73725	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
73725	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
73725	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
73725	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
74000	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
74010	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
74020	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
74022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
74150	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
74150	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
74160	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT13	May 49
74160	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		XXX		CPT13	May 49
74160	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 49
74160	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
74160	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
74160	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	11.272	1		XXX		CPT13	May 49
74160	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 49
74160	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 49
74160	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Final
74160	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 49
74160	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX		CPT13	May 49
74160	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 49
74160	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT13	May 49
74160	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT13	May 49
74160	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX		CPT13	May 49
74160	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT13	May 49
74160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 49
74160	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX		CPT13	May 49
74170	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT13	May 49
74170	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		XXX		CPT13	May 49
74170	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 49
74170	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
74170	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
74170	RUC	"Hypodermic, IV"	SC002	angiocatheter set	item	11.272	1		XXX		CPT13	May 49
74170	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 49
74170	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 49
74170	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	Final
74170	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 49
74170	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX		CPT13	May 49
74170	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 49
74170	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT13	May 49
74170	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT13	May 49
74170	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX		CPT13	May 49
74170	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT13	May 49
74170	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 49
74170	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX		CPT13	May 49
74174	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.06	1		XXX	74174	November 2013	November 3
74174	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	74174	November 2013	November 3
74174	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	74174	November 2013	November 3
74174	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	3		XXX	74174	November 2013	November 3
74174	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX	74174	November 2013	November 3
74174	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX	74174	November 2013	November 3
74174	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX	74174	November 2013	November 3
74174	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		XXX	74174	November 2013	November 3
74174	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX	74174	November 2013	November 3
74174	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX	74174	November 2013	November 3
74175	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.06	1		XXX	74175	November 2013	November 3
74175	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	74175	November 2013	November 3
74175	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	74175	November 2013	November 3
74175	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	3		XXX	74175	November 2013	November 3
74175	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX	74175	November 2013	November 3
74175	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX	74175	November 2013	November 3
74175	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX	74175	November 2013	November 3
74175	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		XXX	74175	November 2013	November 3
74175		"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX	74175	November 2013	November 3
74175	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX	74175	November 2013	November 3
74176	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT11	36
74176	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT11	36
74176	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX		CPT13	May 49
74177	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT13	May 49
74177	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		XXX		CPT13	May 49
74177	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 49
74177	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
74177	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
74177	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	11.272	1		XXX		CPT13	May 49
74177	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 49
74177	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 49
74177	CMS	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	8.375	1		XXX		CPT13	May 49
74177	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 49
74177	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX		CPT13	May 49
74177	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 49
74177	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT13	May 49
74177	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX		CPT13	May 49
74177	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	15		XXX		CPT13	May 49
74177	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT13	May 49
74177	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 49
74177	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX		CPT13	May 49
74178	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT13	May 49
74178	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		XXX		CPT13	May 49
74178	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 49
74178	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 49
74178	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 49
74178	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	11.272	1		XXX		CPT13	May 49
74178	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 49
74178	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 49
74178	CMS	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	8.375	1		XXX		CPT13	May 49
74178	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 49
74178	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX		CPT13	May 49
74178	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 49
74178	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		CPT13	May 49
74178	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	6		XXX		CPT13	May 49
74178	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	15		XXX		CPT13	May 49
74178	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT13	May 49
74178	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 49
74178	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX		CPT13	May 49
74181	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
74182	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
74182	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
74182	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
74182	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
74182	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
74182	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
74182	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
74182	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
74182	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
74182	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
74182	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
74182	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
74182	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
74182	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
74182	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
74182	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
74182	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
74183	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
74183	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
74183	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
74183	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
74183	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
74183	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
74183	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
74183	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
74183	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Aug03	7
74183	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
74183	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
74183	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
74183	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
74183	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
74183	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
74183	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
74183	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
74185	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
74185	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
74185	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
74185	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
74185	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
74185	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
74185	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
74185	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
74185	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
74185	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
74185	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
74185	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
74185	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
74185	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
74185	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
74185	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
74210	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74210	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	1		XXX		Jan04	7
74220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74220	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.718	1		XXX		Jan04	7
74220	RUC	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.142	1		XXX		Jan04	7
74230	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	"92611, 74230"	March 2014	March 8
74230		"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.718	1		XXX	"92611, 74230"	March 2014	March 8
74230		"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	60		XXX	"92611, 74230"	March 2014	March 8
74230		"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.217	60		XXX	"92611, 74230"	March 2014	March 8
74230		"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.021	60		XXX	"92611, 74230"	March 2014	March 8
74230		"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.217	60		XXX	"92611, 74230"	March 2014	March 8
74230	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX	"92611, 74230"	March 2014	March 8
74230		"Office Supply, Grocery"	SK017	cookie (each)	item	0.06	1		XXX	"92611, 74230"	March 2014	March 8
74230		"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		XXX	"92611, 74230"	March 2014	March 8
74230		"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	2		XXX	"92611, 74230"	March 2014	March 8
74240	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74240	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	1		XXX		Jan04	7
74241	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74241	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	1		XXX		Jan04	7
74245	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74245	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.018	1		XXX		Jan04	7
74246	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74246	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.718	1		XXX		Jan04	7
74246	RUC	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.142	1		XXX		Jan04	7
74247	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74247	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.718	1		XXX		Jan04	7
74247	RUC	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.142	1		XXX		Jan04	7
74249	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74249	RUC	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.142	1		XXX		Jan04	7
74250	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74250	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.718	1		XXX		Jan04	7
74251	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	32.985	1		XXX		Jan04	7
74251	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74251	RUC	"Accessory, Procedure"	SD023	"catheter, enteroclysis"	item	183.01	1		XXX		Jan04	7
74251	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		XXX		Jan04	7
74260	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	32.985	1		XXX		Jan04	7
74260	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74260	RUC	"Accessory, Procedure"	SD023	"catheter, enteroclysis"	item	183.01	1		XXX		Jan04	7
74260	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		XXX		Jan04	7
74261	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	20.83	1		XXX		CPT10	15
74261	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT10	15
74261	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT10	15
74261	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.826	4		XXX		CPT10	15
74262	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	20.83	1		XXX		CPT10	15
74262	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT10	15
74262	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT10	15
74262	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT10	15
74262	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT10	15
74262	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT10	15
74262	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX		CPT10	15
74262	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX		CPT10	15
74262	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.826	4		XXX		CPT10	15
74262	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	15
74262	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	1		XXX		CPT10	15
74262	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT10	15
74262	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT10	15
74263	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	20.83	1		XXX		CPT10	15
74263	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT10	15
74263	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT10	15
74263	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.826	4		XXX		CPT10	15
74270	RUC	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	9.466	1		XXX		Jan04	7
74270	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74270	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		XXX		Jan04	7
74280	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	32.985	1		XXX		Jan04	7
74280	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74280	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		XXX		Jan04	7
74283	RUC	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	9.466	1		XXX		Jan04	7
74283	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74283	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		XXX		Jan04	7
74290	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74290	RUC	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.745	1		XXX		Jan04	7
74320	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	9
74320	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
74327	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
74327	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
74400	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
74400	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
74400	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
74400	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX			
74400	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		XXX			
74400	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX			
74400	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		XXX			
74410	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
74410	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
74410	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
74410	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX			
74410	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		XXX			
74410	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX			
74410	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		XXX			
74415	RUC	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.869	1		XXX			
74415	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
74415	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
74415	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
74415	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX			
74415	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	3.314	1		XXX			
74415	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX			
74415	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		XXX			
74430	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
74430	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	2		XXX			
74440	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.83	1		XXX		Mar04	V
74440	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar04	V
74440	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Mar04	V
74440	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Mar04	V
74440	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Mar04	V
74440	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		Mar04	V
74455	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
74455	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	2		XXX			
74475	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar04	V
74475	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Mar04	V
74480	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar04	V
74480	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Mar04	V
74485	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar04	V
74485	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Mar04	V
74710	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
74740	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
74740	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	2		XXX			
75557	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT08	J
75557	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT08	J
75557	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT08	J
75557	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT08	J
75557	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT08	J
75557	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX		CPT08	J
75557	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT08	J
75557	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	1		XXX		CPT08	J
75559	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT08	J
75559	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT08	J
75559	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT08	J
75559	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT08	J
75559	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT08	J
75559	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		XXX		CPT08	J
75559	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	5		XXX		CPT08	J
75559	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	2		XXX		CPT08	J
75559	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT08	J
75559	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT08	J
75559	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT08	J
75559	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT08	J
75559	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		XXX		CPT08	J
75559	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		XXX		CPT08	J
75559	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	4		XXX		CPT08	J
75559	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT08	J
75559	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT08	J
75559	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	1		XXX		CPT08	J
75559	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	2		XXX		CPT08	J
75559	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT08	J
75559	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	40		XXX		CPT08	J
75561	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT08	J
75561	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT08	J
75561	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT08	J
75561	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT08	J
75561	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT08	J
75561	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	2		XXX		CPT08	J
75561	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT08	J
75561	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX		CPT08	J
75561	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT08	J
75561	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX		CPT08	J
75561	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	4		XXX		CPT08	J
75561	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT08	J
75561	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT08	J
75561	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	1		XXX		CPT08	J
75561	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	2		XXX		CPT08	J
75561	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT08	J
75561	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	40		XXX		CPT08	J
75563	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	2		XXX		CPT08	J
75563	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT08	J
75563	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT08	J
75563	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT08	J
75563	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT08	J
75563	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		XXX		CPT08	J
75563	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	4		XXX		CPT08	J
75563	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	4		XXX		CPT08	J
75563	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT08	J
75563	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT08	J
75563	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	5.445	1		XXX			
75563	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT08	J
75563	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT08	J
75563	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		XXX		CPT08	J
75563	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		XXX		CPT08	J
75563	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	4		XXX		CPT08	J
75563	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT08	J
75563	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT08	J
75563	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	1		XXX		CPT08	J
75563	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	2		XXX		CPT08	J
75563	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT08	J
75563	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	40		XXX		CPT08	J
75571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	17
75571	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	3		XXX		CPT10	17
75571	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT10	17
75572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	17
75572	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT10	17
75572	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	3		XXX		CPT10	17
75572	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT10	17
75572	RUC	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.688	1		XXX		CPT10	17
75572	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	17
75572	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT10	17
75572	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		CPT10	17
75572	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT10	17
75572	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	3		XXX		CPT10	17
75572	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT10	17
75572	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT10	17
75573	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	17
75573	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT10	17
75573	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	3		XXX		CPT10	17
75573	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT10	17
75573	RUC	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.688	1		XXX		CPT10	17
75573	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	17
75573	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT10	17
75573	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		CPT10	17
75573	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT10	17
75573	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	3		XXX		CPT10	17
75573	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT10	17
75573	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT10	17
75574	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	17
75574	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT10	17
75574	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	3		XXX		CPT10	17
75574	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT10	17
75574	RUC	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.688	1		XXX		CPT10	17
75574	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	17
75574	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT10	17
75574	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		XXX		CPT10	17
75574	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT10	17
75574	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	3		XXX		CPT10	17
75574	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT10	17
75574	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT10	17
75600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
75600	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
75600	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
75600	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
75600	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
75600	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
75600	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
75600	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
75600	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
75600	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
75600	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
75600	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
75600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
75600	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75600	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
75605	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75605	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75625	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75625	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75630	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75630	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75635	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
75635	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
75635	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
75635	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX			
75635	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
75635	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		XXX			
75635	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		XXX			
75635	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
75635	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
75635	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	0.34		XXX			
75635	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
75658	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75658	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75705	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75705	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75710	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75710	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75716	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75716	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75726	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75726	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75731	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75731	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75733	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75733	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75736	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75736	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75741	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75741	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75743	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75743	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75746	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75746	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75756	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75756	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75791	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		XXX		CPT10	29
75791	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT10	29
75791	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		XXX		CPT10	29
75791	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		CPT10	29
75791	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		XXX		CPT10	29
75791	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX		CPT10	29
75791	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		XXX		CPT10	29
75791	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT10	29
75809	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75820	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75820	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75822	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75822	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75825	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75825	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75827	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75827	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75831	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75831	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75833	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75833	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75840	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75840	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75842	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75842	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75860	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75860	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75870	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75870	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75872	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75872	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75880	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75880	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75885	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		CPT10	41
75885	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT10	41
75887	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		CPT10	41
75887	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT10	41
75889	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75889	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75891	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75891	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75893	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75893	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75901	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	3		XXX			
75902	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	3		XXX			
75962	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75962	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75966	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75966	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75978	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		Jan04	9
75978	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
75984	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Mar04	R
75989	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	9
75989	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
76000	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX			
76010	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
76080	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
76098	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
76098	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
76098	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX		Aug03	7
76098	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		Aug03	7
76098	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		XXX		Aug03	7
76098	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		XXX		Aug03	7
76100	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
76101	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
76102	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
76120	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Feb05	
76380	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
76380	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
76390	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
76390	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
76390	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		Aug03	7
76506	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76506	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76506	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX			
76506	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76506	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76510	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
76510	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	10		XXX			
76510	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	20		XXX			
76511	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
76511	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	5		XXX			
76511	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	10		XXX			
76512	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
76512	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	5		XXX			
76512	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	10		XXX			
76513	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
76513	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	7		XXX			
76513	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	10		XXX			
76514	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Apr06	J
76516	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
76516	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	7		XXX			
76516	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	10		XXX			
76519	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
76519	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	7		XXX			
76519	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	10		XXX			
76529	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
76529	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	7		XXX			
76529	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	10		XXX			
76536	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76536	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76536	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76536	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76536	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76604	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
76604	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Aug03	7
76604	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
76604	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
76604	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Aug03	7
76604	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Aug03	7
76604	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.33		XXX		Aug03	7
76604	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Aug03	7
76641		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76645	May 2014	May 24
76641		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76645	May 2014	May 24
76641		"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76645	May 2014	May 24
76641		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76645	May 2014	May 24
76641		"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76645	May 2014	May 24
76641		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76645	May 2014	May 24
76641		"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	90		XXX	76645	May 2014	May 24
76641		Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76645	May 2014	May 24
76641		Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76645	May 2014	May 24
76641		Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76645	May 2014	May 24
76642	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76645	May 2014	May 24
76642	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76645	May 2014	May 24
76642	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76645	May 2014	May 24
76642	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76645	May 2014	May 24
76642	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76645	May 2014	May 24
76642	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76645	May 2014	May 24
76642	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76645	May 2014	May 24
76642	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76645	May 2014	May 24
76642	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76645	May 2014	May 24
76642	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76645	May 2014	May 24
76700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76700	November 2013	November 4
76700	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76700	November 2013	November 4
76700	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76700	November 2013	November 4
76700	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76700	November 2013	November 4
76700	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76700	November 2013	November 4
76700	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76700	November 2013	November 4
76700	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76700	November 2013	November 4
76700	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76700	November 2013	November 4
76700	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76700	November 2013	November 4
76700	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76700	November 2013	November 4
76705	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76705	November 2013	November 4
76705	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76705	November 2013	November 4
76705	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76705	November 2013	November 4
76705	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76705	November 2013	November 4
76705	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76705	November 2013	November 4
76705	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76705	November 2013	November 4
76705	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76705	November 2013	November 4
76705	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76705	November 2013	November 4
76705	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76705	November 2013	November 4
76705	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76705	November 2013	November 4
76770	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76770	November 2013	November 4
76770	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76770	November 2013	November 4
76770	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76770	November 2013	November 4
76770	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76770	November 2013	November 4
76770	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76770	November 2013	November 4
76770	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76770	November 2013	November 4
76770	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76770	November 2013	November 4
76770	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76770	November 2013	November 4
76770	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76770	November 2013	November 4
76770	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76770	November 2013	November 4
76775	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76775	November 2013	November 4
76775	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76775	November 2013	November 4
76775	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76775	November 2013	November 4
76775	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76775	November 2013	November 4
76775	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76775	November 2013	November 4
76775	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76775	November 2013	November 4
76775	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76775	November 2013	November 4
76775	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76775	November 2013	November 4
76775	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76775	November 2013	November 4
76775	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76775	November 2013	November 4
76776	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT07	
76776	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT07	
76776	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		CPT07	
76776	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	10		XXX		CPT07	
76776	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT07	
76800	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	7
76800	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	7
76800	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
76800	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Jan04	7
76800	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	7
76800	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Jan04	7
76800	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.33		XXX		Jan04	7
76800	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Jan04	7
76801	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76801	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76801	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76801	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76801	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76802	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		ZZZ			
76805	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76805	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76805	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76805	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76805	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76810	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		ZZZ			
76811	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76811	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76811	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76811	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76811	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76812	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		ZZZ			
76813	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT07	
76813	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT07	
76813	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT07	
76813	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		CPT07	
76813	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	10		XXX		CPT07	
76813	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT07	
76814	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		ZZZ		CPT07	
76815	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76815	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76815	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76815	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76815	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76816	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76816	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76816	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76816	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76816	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76817	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76817	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76817	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX			
76817	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76817	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76818	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX			
76818	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
76818	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
76818	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
76818	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
76818	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX			
76818	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX			
76819	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX			
76819	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
76819	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
76819	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
76819	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
76819	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX			
76821	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
76821	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	88171		
76821	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	88171		
76821	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
76821	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
76821	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76821	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.3		XXX			
76821	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
76825	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
76825	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
76825	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX			
76825	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
76825	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.034		XXX			
76825	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX			
76826	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
76826	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
76826	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
76826	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX			
76826	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
76826	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.034		XXX			
76826	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX			
76830	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX		CPT13	May 50
76830	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 50
76830	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 50
76830	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT13	May 50
76830	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT13	May 50
76830	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX		CPT13	May 50
76830	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX		CPT13	May 50
76830	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT13	May 50
76831	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX			
76831	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76831	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76831	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX			
76831	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		XXX			
76831	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76831	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76856	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76856	November 2013	November 4
76856	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76856	November 2013	November 4
76856	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76856	November 2013	November 4
76856	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76856	November 2013	November 4
76856	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76856	November 2013	November 4
76856	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76856	November 2013	November 4
76856	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76856	November 2013	November 4
76856	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76856	November 2013	November 4
76856	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76856	November 2013	November 4
76856	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76856	November 2013	November 4
76857	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76857	November 2013	November 4
76857	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76857	November 2013	November 4
76857	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76857	November 2013	November 4
76857	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76857	November 2013	November 4
76857	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76857	November 2013	November 4
76857	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76857	November 2013	November 4
76857	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76857	November 2013	November 4
76857	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76857	November 2013	November 4
76857	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76857	November 2013	November 4
76857	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76857	November 2013	November 4
76870	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX			
76870	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX			
76870	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
76870	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76870	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76870	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76870	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76872	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 50
76872	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX		CPT13	May 50
76872	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 50
76872	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1				CPT14	Final
76872	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT13	May 50
76872	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT13	May 50
76872	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1				CPT14	Final
76872	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2				CPT14	Final
76872	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	10				CPT14	Final
76872	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	5				CPT14	Final
76872	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2				CPT14	Final
76872	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 50
76872	RUC	"Pharmacy, NonRx"	SJ057	thermometer (single use)	item	0.106	1		XXX		CPT13	May 50
76872	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX		CPT13	May 50
76872	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	32				CPT14	Final
76872	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1				CPT14	Final
76872	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT13	May 50
76873	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX			
76873	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
76873	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76873	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
76873	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX			
76873	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX			
76873	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76873	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76881	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT11	37
76881	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT11	37
76881	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		CPT11	37
76881	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX		CPT11	37
76881	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT11	37
76882	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT11	37
76882	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT11	37
76882	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX		CPT11	37
76882	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX		CPT11	37
76882	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT11	37
76885	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
76885	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
76885	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
76885	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX			
76885	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
76886	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
76886	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Aug03	7
76886	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
76886	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
76886	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Aug03	7
76886	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Aug03	7
76886	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.33		XXX		Aug03	7
76886	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Aug03	7
76936	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	7
76936	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	7
76936	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
76936	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Jan04	7
76936	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	7
76936	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Jan04	7
76936	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.33		XXX		Jan04	7
76936	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Jan04	7
76937	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		ZZZ			
76937	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	2		ZZZ			
76937	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	3		ZZZ			
76937	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		ZZZ			
76937	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	6		ZZZ			
76937	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	150		ZZZ			
76937	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	5		ZZZ			
76937	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		ZZZ			
76942	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX	76942	May 2014	May 47
76942		"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		XXX	76942	May 2014	May 47
76942	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX	76942	May 2014	May 47
76942	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76942	May 2014	May 47
76946	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
76946	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Aug03	7
76946	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX		Aug03	7
76946	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Aug03	7
76948	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
76948	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Aug03	7
76948	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		XXX		Aug03	7
76948	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Aug03	7
76965	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		XXX		Mar04	V
76965	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		XXX		Mar04	V
76965	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Mar04	V
76965	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		Mar04	V
76965	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		XXX		Mar04	V
76965	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		XXX		Mar04	V
76970	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
76970	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Aug03	7
76970	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
76970	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Aug03	7
76970	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.33		XXX		Aug03	7
77001	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		ZZZ		CPT14	May 40
77001	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		ZZZ		CPT14	May 40
77001	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		ZZZ		CPT14	May 40
77001	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		ZZZ		CPT14	May 40
77001	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	1		ZZZ		CPT14	May 40
77001	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		ZZZ		CPT14	May 40
77001	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		ZZZ		CPT14	May 40
77001	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		ZZZ		CPT14	May 40
77002	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		CPT14	May 40
77002	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 40
77002	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT14	May 40
77003	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		XXX		CPT13	Mar 8
77003	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	Mar 8
77003	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT13	Mar 8
77011	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
77011	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Jan04	7
77012	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Jan04	9
77055	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
77055	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
77055	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77055	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX		Aug03	7
77055	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		XXX		Aug03	7
77055	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Aug03	7
77055	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		Aug03	7
77055	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		XXX		Aug03	7
77055	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		XXX		Aug03	7
77055	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX		Aug03	7
77056	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
77056	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
77056	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77056	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX		Aug03	7
77056	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX		Aug03	7
77056	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Aug03	7
77056	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		Aug03	7
77056	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		XXX		Aug03	7
77056	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Aug03	7
77056	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX		Aug03	7
77057	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
77057	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
77057	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77057	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX		Aug03	7
77057	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX		Aug03	7
77057	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Aug03	7
77057	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		Aug03	7
77057	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.5		XXX		Aug03	7
77057	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Aug03	7
77057	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX		Aug03	7
77058	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
77058	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
77058	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
77058	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77058	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
77058	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
77058	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
77058	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
77058	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
77058	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
77058	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
77058	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
77058	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
77058	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
77058	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
77058	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
77059	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		Aug03	7
77059	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Aug03	7
77059	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Aug03	7
77059	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77059	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Aug03	7
77059	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Aug03	7
77059	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Aug03	7
77059	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Aug03	7
77059	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Aug03	7
77059	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Aug03	7
77059	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Aug03	7
77059	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX		Aug03	7
77059	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Aug03	7
77059	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Aug03	7
77059	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Aug03	7
77059	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Aug03	7
77063	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	77057	May 2014	May 25
77071	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
77072	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77073	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77074	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
77075	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77077	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Aug03	7
77078	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	7
77078	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		Jan04	7
77080	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	77080	May 2014	May 26
77080	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	77080	May 2014	May 26
77080	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	77080	May 2014	May 26
77081	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Feb07	27
77084	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX			
77085	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	77082	May 2014	May 26
77085	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	77082	May 2014	May 26
77085	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	77082	May 2014	May 26
77086	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	77082	May 2014	May 26
77086	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	77082	May 2014	May 26
77086	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	77082	May 2014	May 26
77280	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 18
77280	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT14	May 18
77280	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	May 18
77280	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT14	May 18
77280	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 18
77280	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	2		XXX		CPT14	May 18
77280	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT14	May 18
77285	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 18
77285	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT14	May 18
77285	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	May 18
77285	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT14	May 18
77285	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 18
77285	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	2		XXX		CPT14	May 18
77285	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT14	May 18
77290	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 18
77290	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		CPT14	May 18
77290	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT14	May 18
77290	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT14	May 18
77290	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 18
77290	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	2		XXX		CPT14	May 18
77290	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT14	May 18
77295	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX		CPT14	May 18
77300	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX	77300	May 2014	May 27
77301	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	May 41
77301	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		XXX		CPT14	May 41
77301	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT14	May 41
77301	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		XXX		CPT14	May 41
77301	RUC	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	2	4		XXX		CPT14	May 41
77301	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	20		XXX		CPT14	May 41
77301	RUC	Lab	SL001	acetone	ml	0.014	6		XXX		CPT14	May 41
77306	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX	"77305, 77310"	May 2014	May 27
77307	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX	77315	May 2014	May 27
77316	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	8		XXX	77326	May 2014	May 27
77317	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	8		XXX	77327	May 2014	May 27
77318	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	8		XXX	77328	May 2014	May 27
77321	RUC	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	1.75	1		XXX			
77321	RUC	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.631	1		XXX			
77321	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
77331	RUC	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.631	1		XXX			
77331	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
77332	RUC	"Accessory, Procedure"	SD007	bolus material (Superflab)	item	55	1		XXX			
77333	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
77333	RUC	Lab	SL082	"impression material, dental putty (per bite block)"	item	2.138	1		XXX			
77334	RUC	"Gown, Drape"	SB038	safety glasses	item	2.902	1		XXX			
77334	RUC	"Accessory, Procedure"	SD001	"alloy, low temp fusible (Cerrobend, Indalloy)"	lb	4.22	15		XXX			
77334	RUC	"Accessory, Procedure"	SD120	"styrofoam block, high density (3in-12in-12in)"	item	1.857	1		XXX			
77334	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX			
77334	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		XXX			
77334	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
77334	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
77334	RUC	Lab	SL094	"mold release agent, silicone spray"	oz	0.54	1		XXX			
77338	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	9		XXX		CPT14	May 41
77370	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	5		XXX			
77372	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		XXX		CPT14	May 43
77372	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 43
77372	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT14	May 43
77372	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		XXX		CPT14	May 43
77372	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 43
77372	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	May 43
77372	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	10		XXX		CPT14	May 43
77372	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 43
77373	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	Mar 9
77373	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Mar 9
77373	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		XXX		CPT14	Mar 9
77373	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	10		XXX		CPT14	Mar 9
77373	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	10		XXX		CPT14	Mar 9
77401	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
77401	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
77401	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
77401	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
77417	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
77422	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		RUC05	
77422	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		RUC05	
77422	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		RUC05	
77422	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		XXX		RUC05	
77422	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
77423	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		RUC05	
77423	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		RUC05	
77423	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		RUC05	
77423	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		XXX		RUC05	
77423	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
77427	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX		CPT11	65
77431	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	10
77600	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	2		XXX		CPT14	May 44
77600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	May 44
77600	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX		CPT14	May 44
77600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		CPT14	May 44
77600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT14	May 44
77600	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	5		XXX		CPT14	May 44
77600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT14	May 44
77600	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	May 44
77600	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT14	May 44
77600	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		XXX		CPT14	May 44
77600	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		CPT14	May 44
77600	RUC	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	20	2		XXX		CPT14	May 44
77600	RUC	"Hypodermic, IV"	SC071	"catheter, hyperthermia, open-end"	item	20	2		XXX		CPT14	May 44
77600	RUC	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	12	1		XXX		CPT14	May 44
77600	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		CPT14	May 44
77600	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX		CPT14	May 44
77600	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		XXX		CPT14	May 44
77600	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		CPT14	May 44
77600	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		XXX		CPT14	May 44
77600	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	480		XXX		CPT14	May 44
77600	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		XXX		CPT14	May 44
77600	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		CPT14	May 44
77600	RUC	Lab	SL020	bleach	ml	0.001	110		XXX		CPT14	May 44
77605	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	2		XXX		Jan04	10
77605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	10
77605	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX		Jan04	10
77605	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Jan04	10
77605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	10
77605	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	5		XXX		Jan04	10
77605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	10
77605	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	10
77605	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		XXX		Jan04	10
77605	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		XXX		Jan04	10
77605	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	10
77605	RUC	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	20	4		XXX		Jan04	10
77605	RUC	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	12	1		XXX		Jan04	10
77605	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	10
77605	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX		Jan04	10
77605	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		XXX		Jan04	10
77605	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		Jan04	10
77605	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		XXX		Jan04	10
77605	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	480		XXX		Jan04	10
77605	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		XXX		Jan04	10
77605	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Jan04	10
77605	RUC	Lab	SL020	bleach	ml	0.001	1137		XXX		Jan04	10
77610	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	2		XXX		Jan04	10
77610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	10
77610	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX		Jan04	10
77610	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Jan04	10
77610	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	10
77610	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	5		XXX		Jan04	10
77610	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	10
77610	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	10
77610	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	10
77610	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		XXX		Jan04	10
77610	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	10
77610	RUC	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	20	6		XXX		Jan04	10
77610	RUC	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	12	1		XXX		Jan04	10
77610	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		XXX		Jan04	10
77610	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX		Jan04	10
77610	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		XXX		Jan04	10
77610	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		Jan04	10
77610	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		XXX		Jan04	10
77610	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	480		XXX		Jan04	10
77610	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		XXX		Jan04	10
77610	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Jan04	10
77610	RUC	Lab	SL020	bleach	ml	0.001	1137		XXX		Jan04	10
77615	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	2		XXX		Jan04	10
77615	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	10
77615	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX		Jan04	10
77615	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Jan04	10
77615	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		Jan04	10
77615	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	5		XXX		Jan04	10
77615	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	10
77615	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	10
77615	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	12		XXX		Jan04	10
77615	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		XXX		Jan04	10
77615	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	10
77615	RUC	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	20	16		XXX		Jan04	10
77615	RUC	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	12	1		XXX		Jan04	10
77615	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX		Jan04	10
77615	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		XXX		Jan04	10
77615	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	18		XXX		Jan04	10
77615	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		XXX		Jan04	10
77615	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	480		XXX		Jan04	10
77615	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		XXX		Jan04	10
77615	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Jan04	10
77620	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	2		XXX		Jan04	10
77620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	10
77620	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX		Jan04	10
77620	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Jan04	10
77620	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		Jan04	10
77620	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	5		XXX		Jan04	10
77620	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	10
77620	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	10
77620	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	4		XXX		Jan04	10
77620	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	2		XXX		Jan04	10
77620	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	10
77620	RUC	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	20	3		XXX		Jan04	10
77620	RUC	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	12	1		XXX		Jan04	10
77620	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX		Jan04	10
77620	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	3		XXX		Jan04	10
77620	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		Jan04	10
77620	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.081	10		XXX		Jan04	10
77620	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	480		XXX		Jan04	10
77620	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		XXX		Jan04	10
77620	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Jan04	10
77620	RUC	Lab	SL020	bleach	ml	0.001	1137		XXX		Jan04	10
77750	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		090		Jan04	10
77750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	3		090		Jan04	10
77750	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	10
77750	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		090		Jan04	10
77750	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		090		Jan04	10
77750	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		090		Jan04	10
77750	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		090		Jan04	10
77750	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		090		Jan04	10
77750	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		090		Jan04	10
77750	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		090		Jan04	10
77750	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		090		Jan04	10
77750	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		090		Jan04	10
77750	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		090		Jan04	10
77750	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		090		Jan04	10
77750	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	60		090		Jan04	10
77750	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		090		Jan04	10
77761	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	10
77761	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		090		Jan04	10
77761	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Jan04	10
77761	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	10
77761	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	10
77761	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	8		090		Jan04	10
77761	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Jan04	10
77761	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		090		Jan04	10
77761	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		Jan04	10
77761	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Jan04	10
77761	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090		Jan04	10
77761	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Jan04	10
77761	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Jan04	10
77761	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	10
77761	RUC	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	4.42	2		090		Jan04	10
77761	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	45		090		Jan04	10
77761	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		Jan04	10
77761	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		090		Jan04	10
77762	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	10
77762	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		090		Jan04	10
77762	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Jan04	10
77762	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	10
77762	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	10
77762	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	8		090		Jan04	10
77762	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Jan04	10
77762	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		090		Jan04	10
77762	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		Jan04	10
77762	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Jan04	10
77762	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090		Jan04	10
77762	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Jan04	10
77762	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Jan04	10
77762	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	10
77762	RUC	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	4.42	2		090		Jan04	10
77762	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	45		090		Jan04	10
77762	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		Jan04	10
77762	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		090		Jan04	10
77763	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		090		Jan04	10
77763	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		090		Jan04	10
77763	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	1		090		Jan04	10
77763	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	10
77763	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	10
77763	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		090		Jan04	10
77763	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Jan04	10
77763	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		090		Jan04	10
77763	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		090		Jan04	10
77763	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Jan04	10
77763	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090		Jan04	10
77763	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Jan04	10
77763	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	2.936	1		090		Jan04	10
77763	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	10
77763	RUC	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	4.42	2		090		Jan04	10
77763	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	45		090		Jan04	10
77763	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		090		Jan04	10
77763	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		090		Jan04	10
77776	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		090		Jan04	10
77776	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		090		Jan04	10
77776	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	2		090		Jan04	10
77776	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		090		Jan04	10
77776	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	10
77776	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Jan04	10
77776	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		090		Jan04	10
77776	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		090		Jan04	10
77776	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Jan04	10
77776	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	10
77776	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		090		Jan04	10
77777	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		090		Jan04	10
77777	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		090		Jan04	10
77777	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	2		090		Jan04	10
77777	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	10
77777	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		090		Jan04	10
77777	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		090		Jan04	10
77777	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Jan04	10
77777	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		090		Jan04	10
77777	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Jan04	10
77777	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	10
77777	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	2		090		Jan04	10
77777	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		090		Jan04	10
77778	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	9.864	1		090		Jan04	10
77778	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	4		090		Jan04	10
77778	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	6.7647	2		090		Jan04	10
77778	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		090		Jan04	10
77778	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	2		090		Jan04	10
77778	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		090		Jan04	10
77778	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		090		Jan04	10
77778	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	4		090		Jan04	10
77778	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		090		Jan04	10
77778	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		090		Jan04	10
77778	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	2		090		Jan04	10
77778	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	4		090		Jan04	10
77785	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1		XXX		CPT14	May 45
77785	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		XXX		CPT14	May 45
77785	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		CPT14	May 45
77785	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		XXX		CPT14	May 45
77785	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 45
77785	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT14	May 45
77785	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	1		XXX		CPT14	May 45
77785	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT14	May 45
77785	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		XXX		CPT14	May 45
77785	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	12		XXX		CPT14	May 45
77785	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX		CPT14	May 45
77785	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		CPT14	May 45
77785	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.077	5		XXX		CPT14	May 45
77785	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT14	May 45
77785	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	13		XXX		CPT14	May 45
77786	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1		XXX		CPT14	May 45
77786	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		XXX		CPT14	May 45
77786	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		XXX		CPT14	May 45
77786	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		XXX		CPT14	May 45
77786	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 45
77786	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT14	May 45
77786	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	6		XXX		CPT14	May 45
77786	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT14	May 45
77786	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		XXX		CPT14	May 45
77786	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	12		XXX		CPT14	May 45
77786	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX		CPT14	May 45
77786	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		CPT14	May 45
77786	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.077	5		XXX		CPT14	May 45
77786	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	6		XXX		CPT14	May 45
77786	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	13		XXX		CPT14	May 45
77787	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.62	1		XXX		CPT14	May 45
77787	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	4.136	1		XXX		CPT14	May 45
77787	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		XXX		CPT14	May 45
77787	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		XXX		CPT14	May 45
77787	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	May 45
77787	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		XXX		CPT14	May 45
77787	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	6		XXX		CPT14	May 45
77787	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT14	May 45
77787	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		XXX		CPT14	May 45
77787	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	12		XXX		CPT14	May 45
77787	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX		CPT14	May 45
77787	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		CPT14	May 45
77787	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.077	5		XXX		CPT14	May 45
77787	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	8		XXX		CPT14	May 45
77787	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	13		XXX		CPT14	May 45
77789	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
77789	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
77789	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
77789	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000			
77789	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
77789	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
77789	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	2		000			
77789	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000			
77789	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
77789	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.006	10		000			
77789	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.596	3		000			
77789	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		000			
77789	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		000			
77790	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	10
78012	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		xxx		CPT13	May 23
78012	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		xxx		CPT13	May 23
78013	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		xxx		CPT13	May 23
78013	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		xxx		CPT13	May 23
78013	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		xxx		CPT13	May 23
78013	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		xxx		CPT13	May 23
78013	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		xxx		CPT13	May 23
78013	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		xxx		CPT13	May 23
78013	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		xxx		CPT13	May 23
78013	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		xxx		CPT13	May 23
78013	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		xxx		CPT13	May 23
78013	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		xxx		CPT13	May 23
78013	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		xxx		CPT13	May 23
78013	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		xxx		CPT13	May 23
78013	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		xxx		CPT13	May 23
78013	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		xxx		CPT13	May 23
78014	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		xxx		CPT13	May 23
78014	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		xxx		CPT13	May 23
78014	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		xxx		CPT13	May 23
78014	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		xxx		CPT13	May 23
78014	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		xxx		CPT13	May 23
78014	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		xxx		CPT13	May 23
78014	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		xxx		CPT13	May 23
78014	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		xxx		CPT13	May 23
78014	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		xxx		CPT13	May 23
78014	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		xxx		CPT13	May 23
78014	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		xxx		CPT13	May 23
78014	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		xxx		CPT13	May 23
78014	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		xxx		CPT13	May 23
78014	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		xxx		CPT13	May 23
78015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78015	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78015	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78015	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78015	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78015	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78015	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78015	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78015	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78015	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78015	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78015	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78015	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78015	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78016	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78016	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78016	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78016	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78016	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78016	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78016	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78016	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78016	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78016	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78016	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78016	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78016	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78016	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78016	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78018	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78018	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78018	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78018	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78018	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78018	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78018	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78018	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78018	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78018	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78018	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78018	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78018	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78018	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78018	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78070	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 24
78070	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX		CPT13	May 24
78070	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		CPT13	May 24
78070	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		CPT13	May 24
78070	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 24
78070	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT13	May 24
78070	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	2		XXX		CPT13	May 24
78070	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		CPT13	May 24
78070	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 24
78070	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT13	May 24
78071	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 24
78071	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX		CPT13	May 24
78071	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		CPT13	May 24
78071	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		CPT13	May 24
78071	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 24
78071	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT13	May 24
78071	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	2		XXX		CPT13	May 24
78071	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		CPT13	May 24
78071	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 24
78071	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT13	May 24
78072	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT14	Final
78072	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX		CPT14	Final
78072	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		CPT14	Final
78072	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		CPT14	Final
78072	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT14	Final
78072	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT14	Final
78072	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	2		XXX		CPT14	Final
78072	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		CPT14	Final
78072	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	Final
78072	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT14	Final
78075	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78075	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78075	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78075	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78075	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78075	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78075	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78075	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78075	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78075	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78075	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78075	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78075	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78075	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78102	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78102	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78102	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78102	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78102	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78102	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78102	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78102	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78102	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78102	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78102	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78102	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78102	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78102	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78103	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78103	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78103	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78103	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78103	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78103	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78103	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78103	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78103	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78103	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78103	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78103	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78103	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78103	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78104	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78104	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78104	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78104	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78104	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78104	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78104	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78104	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78104	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78104	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78104	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78104	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78104	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78104	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78110	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Mar04	X
78110	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	1		XXX		Mar04	X
78110	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1		XXX		Mar04	X
78110	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	1		XXX		Mar04	X
78110	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Mar04	X
78110	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	X
78110	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78111	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		Mar04	X
78111	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	2		XXX		Mar04	X
78111	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX		Mar04	X
78111	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	2		XXX		Mar04	X
78111	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Mar04	X
78111	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX		Mar04	X
78111	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78120	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Mar04	X
78120	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	1		XXX		Mar04	X
78120	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1		XXX		Mar04	X
78120	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	1		XXX		Mar04	X
78120	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Mar04	X
78120	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	X
78120	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78121	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		Mar04	X
78121	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	2		XXX		Mar04	X
78121	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX		Mar04	X
78121	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	2		XXX		Mar04	X
78121	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Mar04	X
78121	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX		Mar04	X
78121	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78122	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		Mar04	X
78122	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	2		XXX		Mar04	X
78122	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX		Mar04	X
78122	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	2		XXX		Mar04	X
78122	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Mar04	X
78122	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX		Mar04	X
78122	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78130	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		XXX		Mar04	X
78130	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	4		XXX		Mar04	X
78130	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4		XXX		Mar04	X
78130	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	4		XXX		Mar04	X
78130	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		XXX		Mar04	X
78130	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		Mar04	X
78130	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78135	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78135	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78135	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78135	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78135	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78135	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78135	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78135	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78135	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78135	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78135	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78135	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78135	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78135	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78140	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78140	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78140	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78140	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78140	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78140	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78140	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78140	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78140	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78140	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78140	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78140	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78140	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78185	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78185	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78185	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78185	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78185	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78185	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78185	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78185	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78185	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78185	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78185	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78185	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78185	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78185	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78190	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78190	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78190	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78190	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78190	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78190	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78190	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78190	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78190	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78190	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78190	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78190	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78190	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78190	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78191	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		XXX		Mar04	X
78191	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	4		XXX		Mar04	X
78191	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4		XXX		Mar04	X
78191	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	4		XXX		Mar04	X
78191	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		XXX		Mar04	X
78191	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		Mar04	X
78191	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78195	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78195	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78195	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78195	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78195	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78195	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78195	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78195	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78195	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78195	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78195	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78195	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78195	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78195	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78195	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78201	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78201	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78201	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78201	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78201	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78201	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78201	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78201	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78201	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78201	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78201	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78201	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78201	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78201	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78202	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78202	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78202	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78202	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78202	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78202	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78202	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78202	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78202	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78202	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78202	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78202	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78202	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78202	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78205	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78205	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78205	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78205	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78205	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78205	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78205	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78205	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78205	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78205	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78205	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78205	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78205	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78205	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78206	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78206	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78206	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	25
78206	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	2		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	25
78206	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		Jan04	25
78206	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Jan04	25
78206	RUC	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.606	2		XXX		Jan04	25
78206	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX		Jan04	25
78206	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Jan04	25
78206	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78215	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78215	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78215	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78215	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78215	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78215	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78215	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78215	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78215	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78215	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78215	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78215	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78215	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78216	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78216	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78216	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78216	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78216	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78216	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78216	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78216	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78216	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78216	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78216	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78216	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78216	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78216	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 21
78226	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT12	May 21
78226	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT12	May 21
78226	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT12	May 21
78226	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT12	May 21
78226	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT12	May 21
78226	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT12	May 21
78226	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT12	May 21
78226	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 21
78226	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT12	May 21
78226	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT12	May 21
78226	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT12	May 21
78226	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT12	May 21
78227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 21
78227	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT12	May 21
78227	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT12	May 21
78227	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT12	May 21
78227	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT12	May 21
78227	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT12	May 21
78227	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT12	May 21
78227	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT12	May 21
78227	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT12	May 21
78227	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 21
78227	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT12	May 21
78227	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT12	May 21
78227	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		CPT12	May 21
78227	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT12	May 21
78227	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT12	May 21
78230	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78230	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78230	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78230	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78230	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78230	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78230	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78230	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78230	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78230	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78230	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78230	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78230	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78230	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78231	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78231	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78231	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78231	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78231	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78231	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78231	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78231	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78231	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78231	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78231	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78231	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78231	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78231	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78232	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78232	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78232	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78232	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78232	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78232	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78232	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78232	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78232	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78232	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78232	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78232	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78232	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78232	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78258	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78258	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78258	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78258	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78261	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78261	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78261	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78261	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78261	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78261	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78261	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78261	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78261	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78261	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78261	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78261	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78261	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78261	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78262	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78262	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78262	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78262	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78264	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78264	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78264	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78264	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78270	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Mar04	X
78270	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	X
78270	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78271	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX		Mar04	X
78271	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	X
78271	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78272	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		Mar04	X
78272	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	X
78272	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78278	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78278	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78278	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78278	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78278	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78278	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78278	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78278	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78278	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78278	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78278	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78278	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78278	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78278	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78278	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78290	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	3		XXX		Jan04	25
78290	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78290	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78290	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78290	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78290	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78290	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78290	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78290	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78290	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78290	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78290	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78290	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78290	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78291	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78291	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78291	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78291	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78291	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78291	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78291	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78291	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78291	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78291	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78291	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78291	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78291	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78300	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78300	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78300	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78300	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78300	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78300	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78300	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78300	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78300	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78300	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78300	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78300	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78305	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78305	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78305	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78305	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78305	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78305	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78305	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78305	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78305	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78305	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78305	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78305	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78305	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78306	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78306	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78306	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78306	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78306	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78306	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78306	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78306	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78306	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78306	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78315	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78315	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	3		XXX		Jan04	25
78315	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78315	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78315	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78315	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78315	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78315	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78315	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78315	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78315	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78315	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78315	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78315	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78315	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78320	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78320	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78320	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78320	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78320	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78320	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78320	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78320	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78320	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78320	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78320	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78320	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78320	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78350	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Feb06	20
78350	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX		Feb06	20
78350	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX		Feb06	20
78428	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78428	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78428	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78428	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78428	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78428	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78428	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78428	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78428	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78428	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78428	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78428	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78428	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78428	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78445	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78445	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78445	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78445	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78445	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78445	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78445	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78445	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78445	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78445	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78445	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78445	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78445	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78445	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78451	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	35
78451	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT10	35
78451	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT10	35
78451	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT10	35
78451	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT10	35
78451	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT10	35
78451	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT10	35
78451	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT10	35
78451	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	35
78451	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT10	35
78451	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT10	35
78451	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT10	35
78451	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT10	35
78451	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		CPT10	35
78452	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		CPT10	35
78452	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT10	35
78452	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	4		XXX		CPT10	35
78452	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT10	35
78452	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT10	35
78452	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT10	35
78452	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT10	35
78452	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT10	35
78452	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	35
78452	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT10	35
78452	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT10	35
78452	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		CPT10	35
78452	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT10	35
78452	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT10	35
78453	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	35
78453	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT10	35
78453	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT10	35
78453	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT10	35
78453	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT10	35
78453	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT10	35
78453	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT10	35
78453	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT10	35
78453	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	35
78453	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT10	35
78453	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT10	35
78453	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT10	35
78453	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT10	35
78453	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		CPT10	35
78454	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		CPT10	35
78454	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT10	35
78454	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT10	35
78454	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT10	35
78454	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT10	35
78454	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT10	35
78454	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT10	35
78454	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT10	35
78454	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT10	35
78454	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT10	35
78454	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT10	35
78454	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		CPT10	35
78454	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT10	35
78454	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT10	35
78456	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78456	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	3		XXX		Jan04	25
78456	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78456	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78456	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78456	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78456	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78456	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78456	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78456	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78456	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78456	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78456	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78456	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78456	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78457	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78457	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78457	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78457	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78457	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78457	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78457	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78457	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78457	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78457	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78457	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78457	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78457	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78457	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78458	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78458	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78458	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78458	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78458	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78458	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78458	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78458	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78458	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78458	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78458	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78458	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78458	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78458	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78466	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78466	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78466	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78466	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78466	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78466	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78466	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78466	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78466	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78466	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78466	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78466	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78466	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78466	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78468	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78468	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78468	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78468	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78468	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78468	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78468	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78468	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78468	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78468	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78468	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78468	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78468	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78468	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78469	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78469	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78469	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78469	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78469	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78469	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78469	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78469	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78469	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78469	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78469	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78469	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78469	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78469	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78472	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78472	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78472	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78472	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78472	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78472	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78472	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78472	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		XXX		Jan04	25
78472	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78472	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78472	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78472	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78472	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		Jan04	25
78473	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78473	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78473	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78473	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78473	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78473	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78473	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78473	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78473	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78473	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78473	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78473	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78473	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78473	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		Jan04	25
78481	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Feb06	20
78481	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Feb06	20
78481	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Feb06	20
78481	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Feb06	20
78481	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Feb06	20
78481	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Feb06	20
78481	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Feb06	20
78481	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		XXX		Feb06	20
78481	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Feb06	20
78481	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Feb06	20
78481	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Feb06	20
78481	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Feb06	20
78481	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		Feb06	20
78483	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Feb06	20
78483	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Feb06	20
78483	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Feb06	20
78483	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Feb06	20
78483	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Feb06	20
78483	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Feb06	20
78483	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Feb06	20
78483	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Feb06	20
78483	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		XXX		Jan04	25
78483	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Feb06	20
78483	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Feb06	20
78483	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Feb06	20
78483	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Feb06	20
78483	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Feb06	20
78494	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78494	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78494	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78494	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78494	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78494	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78494	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78494	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78494	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78494	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78494	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78494	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78494	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78494	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78579	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 22
78579	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT12	May 22
78579	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT12	May 22
78579	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT12	May 22
78579	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT12	May 22
78579	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT12	May 22
78579	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT12	May 22
78579	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT12	May 22
78579	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		CPT12	May 22
78580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 22
78580	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT12	May 22
78580	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT12	May 22
78580	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT12	May 22
78580	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT12	May 22
78580	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT12	May 22
78580	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT12	May 22
78580	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT12	May 22
78580	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT12	May 22
78580	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 22
78580	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT12	May 22
78580	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT12	May 22
78580	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT12	May 22
78580	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT12	May 22
78580	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		CPT12	May 22
78582	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		CPT12	May 22
78582	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT12	May 22
78582	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT12	May 22
78582	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT12	May 22
78582	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT12	May 22
78582	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT12	May 22
78582	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT12	May 22
78582	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT12	May 22
78582	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT12	May 22
78582	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 22
78582	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT12	May 22
78582	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT12	May 22
78582	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT12	May 22
78582	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT12	May 22
78582	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT12	May 22
78597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	May 22
78597	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT12	May 22
78597	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT12	May 22
78597	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT12	May 22
78597	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT12	May 22
78597	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT12	May 22
78597	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT12	May 22
78597	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT12	May 22
78597	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT12	May 22
78597	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 22
78597	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT12	May 22
78597	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT12	May 22
78597	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT12	May 22
78597	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT12	May 22
78597	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		CPT12	May 22
78598	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		CPT12	May 22
78598	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		CPT12	May 22
78598	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT12	May 22
78598	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT12	May 22
78598	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT12	May 22
78598	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		CPT12	May 22
78598	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		CPT12	May 22
78598	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT12	May 22
78598	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT12	May 22
78598	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT12	May 22
78598	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		CPT12	May 22
78598	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		CPT12	May 22
78598	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT12	May 22
78598	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT12	May 22
78598	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		CPT12	May 22
78600	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78600	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	25
78600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78600	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78600	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		Jan04	25
78600	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78600	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Jan04	25
78600	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Jan04	25
78600	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		Jan04	25
78600	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Jan04	25
78600	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78600	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		Jan04	25
78601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78601	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78601	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78601	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78601	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78601	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78601	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78601	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78601	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78601	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78601	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78601	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78601	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78601	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78605	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78605	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78605	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78605	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78605	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78605	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78605	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78605	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78605	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78605	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78606	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78606	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78606	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78606	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78606	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78606	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78606	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78606	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78606	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78606	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78606	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78606	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78606	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78606	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78606	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78607	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78607	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78607	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	25
78607	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	2		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	25
78607	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		Jan04	25
78607	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Jan04	25
78607	RUC	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.606	2		XXX		Jan04	25
78607	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX		Jan04	25
78607	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Jan04	25
78607	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78610	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78610	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78610	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78610	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78610	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78610	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78610	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78610	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78610	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78610	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78610	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78610	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78610	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78630	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78630	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78630	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78630	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78630	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78630	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78630	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78630	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78630	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78630	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78630	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78630	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78630	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78630	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78635	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78635	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	3		XXX		Jan04	25
78635	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78635	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78635	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78635	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78635	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78635	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78635	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78635	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78635	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78635	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78635	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78635	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78635	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78645	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78645	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78645	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78645	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78645	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78645	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78645	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78645	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78645	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78645	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78645	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78645	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78645	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78645	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78645	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78647	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78647	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78647	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	25
78647	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	2		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	25
78647	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		Jan04	25
78647	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Jan04	25
78647	RUC	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.606	2		XXX		Jan04	25
78647	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX		Jan04	25
78647	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Jan04	25
78647	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78650	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78650	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78650	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78650	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78650	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78650	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78650	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78650	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78650	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78650	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78650	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78650	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78650	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78650	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78660	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78660	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78660	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78660	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78660	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78660	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78660	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78660	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78660	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78660	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78660	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78660	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78660	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78700	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78700	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78700	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78700	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78700	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78700	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78700	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78700	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78700	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78700	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78700	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78700	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78700	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78701	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78701	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78701	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78701	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78701	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78701	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78701	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78701	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78701	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78701	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78701	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78701	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78701	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78701	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78707	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78707	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78707	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78707	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78707	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78707	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78707	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78707	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78707	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78707	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78707	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78707	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78708	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78708	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78708	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78708	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78708	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78708	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78708	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78708	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78708	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78708	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78708	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78708	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78708	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78708	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78709	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX		Jan04	25
78709	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78709	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	25
78709	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	25
78709	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78709	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78709	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Jan04	25
78709	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78709	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Jan04	25
78709	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78709	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Jan04	25
78709	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78709	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Jan04	25
78709	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	25
78709	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	10		XXX		Jan04	25
78710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78710	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78710	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78710	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78710	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78710	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78710	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78710	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78710	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78710	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78710	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78710	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78710	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78710	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78725	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		XXX		Mar04	X
78725	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	3		XXX		Mar04	X
78725	RUC	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	3		XXX		Mar04	X
78725	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.142	3		XXX		Mar04	X
78725	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	3		XXX		Mar04	X
78725	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	6		XXX		Mar04	X
78725	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		Mar04	X
78730	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		ZZZ		CPT07	
78740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78740	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78740	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	3		XXX		Jan04	25
78740	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Apr06	J
78740	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78740	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		XXX		Apr06	J
78740	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78761	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78761	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78761	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78761	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78761	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78761	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78761	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78761	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78761	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78761	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78761	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78761	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78761	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78800	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78800	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78800	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78800	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78800	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78800	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78800	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78800	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78800	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78800	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78800	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78800	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78801	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78801	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78801	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78801	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78801	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78801	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78801	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78801	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78801	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78801	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78801	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78801	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78802	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78802	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78802	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78802	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78802	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78802	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78802	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78802	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78802	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		XXX		Jan04	25
78802	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78802	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78802	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78802	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78802	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78803	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78803	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78803	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	25
78803	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	2		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	25
78803	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		Jan04	25
78803	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Jan04	25
78803	RUC	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.606	2		XXX		Jan04	25
78803	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX		Jan04	25
78803	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Jan04	25
78803	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78804	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78804	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78804	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78804	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78804	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78804	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78804	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78804	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78804	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78804	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78804	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78804	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78804	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78805	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78805	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78805	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78805	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78805	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Jan04	25
78805	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78805	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78805	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78805	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78805	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78805	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Jan04	25
78805	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78805	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78805	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78806	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	25
78806	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	25
78806	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78806	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78806	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78806	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Jan04	25
78806	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78806	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Jan04	25
78806	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Jan04	25
78806	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Jan04	25
78806	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Jan04	25
78806	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Jan04	25
78806	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX		Jan04	25
78807	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Jan04	25
78807	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	25
78807	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	25
78807	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	2		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		Jan04	25
78807	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX		Jan04	25
78807	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Jan04	25
78807	RUC	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.606	2		XXX		Jan04	25
78807	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX		Jan04	25
78807	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Jan04	25
78807	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	25
78808	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT09	23
78808	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		CPT09	23
78808	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		CPT09	23
78808	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		CPT09	23
78808	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		CPT09	23
78808	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT09	23
78808	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT09	23
78808	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT09	23
78808	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT09	23
78808	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	4		XXX		CPT09	23
79005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
79005	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX			
79005	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX			
79101	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
79101	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX			
79101	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
79101	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
79101	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
79101	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX			
79101	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX			
79101	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
79101	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
79101	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX			
79101	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX			
79101	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
79101	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX			
79200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Feb05	
79200	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	4		XXX		Feb05	
79200	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Feb05	
79200	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX		Feb05	
79200	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Feb05	
79200	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Feb05	
79200	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Feb05	
79200	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Feb05	
79200	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX		Feb05	
79200	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Feb05	
79200	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Feb05	
79200	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX		Feb05	
79403	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
79403	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX			
79403	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
79403	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
79403	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
79403	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX			
79403	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX			
79403	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
79403	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX			
79403	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX			
79403	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX			
79403	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
79403	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	5		XXX			
79440	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Feb05	
79440	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Feb05	
79440	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Feb05	
79440	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Feb05	
79440	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		Feb05	
79440	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Feb05	
79440	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Feb05	
79440	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		Feb05	
79440	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Feb05	
79440	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX		Feb05	
85097	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
85097	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.201	1		XXX			
85097	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
85097	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX			
85097	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX			
85097	RUC	Lab	SL030	"cover slip, glass"	item	0.079	6		XXX			
85097	RUC	Lab	SL080	immersion oil	ml	0.079	2		XXX			
85097	RUC	Lab	SL085	label for microscope slides	item	0.026	6		XXX			
85097	RUC	Lab	SL087	lens paper	item	0.027	1		XXX			
85097	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	2		XXX			
85097	RUC	Lab	SL108	pipette	item	0.033	1		XXX			
85097	RUC	Lab	SL122	"slide, microscope"	item	0.055	6		XXX			
85097	RUC	Lab	SL140	"stain, Wright's Pack (per slide)"	ml	0.048	1		XXX			
85097	RUC	Lab	SL144	thrombin reagent (Thromboquik)	ml	2.737	0.5		XXX			
85097	RUC	Infection Control	SM005	biohazard glass disposal box (per disposed slide)	item	0.138	1		XXX			
85097	RUC	Infection Control	SM007	biohazard pipette container	item	1.886	0.1		XXX			
86486	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	86490	CPT08	
86486	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX	86490	CPT08	
86486	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	86490	CPT08	
86486	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX	86490	CPT08	
86486	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	0.1		XXX	86490	CPT08	
86486	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX	86490	CPT08	
86490	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
86490	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
86490	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
86490	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
86490	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	0.1		XXX			
86490	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
86510	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
86510	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
86510	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
86510	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
86510	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	0.1		XXX			
86510	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
86580	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
86580	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
86580	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
86580	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
86580	RUC	"Pharmacy, Rx"	SH059	purified protein derivative (0.1ml per test) (PPD-Tubersol)	ml	17.337	0.1		XXX			
86580	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
88104	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88104	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88104	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88104	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX			
88104	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88104	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	8		XXX			
88104	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX			
88104	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	1		XXX			
88104	RUC	Lab	SL071	fixative spray	ml	0.047	9.6		XXX			
88104	RUC	Lab	SL085	label for microscope slides	item	0.026	4		XXX			
88104	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	2		XXX			
88104	RUC	Lab	SL122	"slide, microscope"	item	0.055	4		XXX			
88104	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	1		XXX			
88104	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.064	1		XXX			
88106	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
88106	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88106	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
88106	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88106	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88106	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	8		XXX			
88106	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX			
88106	RUC	Lab	SL041	"cytology, specimen filter (Transcyt)"	item	4.15	2		XXX			
88106	RUC	Lab	SL042	"cytology, transport prefilled container"	item	0.612	1		XXX			
88106	RUC	Lab	SL043	"cytology, vacuum grease"	oz	2.83	0.2		XXX			
88106	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	2		XXX			
88106	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX			
88106	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.4		XXX			
88106	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	1		XXX			
88106	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.46	1		XXX			
88106	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX			
88106	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	5		XXX			
88106	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.064	5		XXX			
88108	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
88108	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88108	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88108	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88108	RUC	Lab	SL024	centrifuge tube	item	0.054	1		XXX			
88108	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	8		XXX			
88108	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX			
88108	RUC	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.034	3		XXX			
88108	RUC	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	0.8	1		XXX			
88108	RUC	Lab	SL041	"cytology, specimen filter (Transcyt)"	item	4.15	2		XXX			
88108	RUC	Lab	SL042	"cytology, transport prefilled container"	item	0.612	1		XXX			
88108	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	2		XXX			
88108	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX			
88108	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.4		XXX			
88108	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	2		XXX			
88108	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.46	1		XXX			
88108	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX			
88108	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	5		XXX			
88108	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.064	5		XXX			
88112	RUC	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7	1		XXX		CPT14	May 46
88112	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 46
88112	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT14	May 46
88112	RUC	Lab	SL020	bleach	ml	0.001	50		XXX		CPT14	May 46
88112	RUC	Lab	SL024	centrifuge tube	item	0.054	1		XXX		CPT14	May 46
88112	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX		CPT14	May 46
88112	RUC	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.034	30		XXX		CPT14	May 46
88112	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX		CPT14	May 46
88112	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.2		XXX		CPT14	May 46
88112	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	1		XXX		CPT14	May 46
88112	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.46	1		XXX		CPT14	May 46
88112	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	4		XXX		CPT14	May 46
88112	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	4		XXX		CPT14	May 46
88112	RUC	Lab	SL151	xylenes solvent	ml	0.012	10		XXX		CPT14	May 46
88112	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	90		XXX		CPT14	May 46
88112	RUC	Lab	SL256	ThinPrep  UroCyte filter	item	8.5	1		XXX		CPT14	May 46
88112	RUC	Lab	SL490	"microscopic slide, cytology liquid based preparation"	item	0.494	1		XXX		CPT14	May 46
88112	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.02	4		XXX		CPT14	May 46
88112	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		XXX		CPT14	May 46
88112	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	4		XXX		CPT14	May 46
88120	RUC	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7	1		XXX		CPT11	15
88120	RUC	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	176.8	1.7		XXX		CPT11	15
88120	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX		CPT11	15
88120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT11	15
88120	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT11	15
88120	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.3		XXX		CPT11	15
88120	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1		XXX		CPT11	15
88120	RUC	Lab	SL024	centrifuge tube	item	0.054	3		XXX		CPT11	15
88120	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX		CPT11	15
88120	RUC	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.034	30		XXX		CPT11	15
88120	RUC	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	0.8	1		XXX		CPT11	15
88120	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	4.2		XXX		CPT11	15
88120	RUC	Lab	SL072	formalin	ml	0.009	0.3		XXX		CPT11	15
88120	RUC	Lab	SL080	immersion oil	ml	0.079	0.3		XXX		CPT11	15
88120	RUC	Lab	SL179	1.0N NaOH	ml	0.489	3.3		XXX		CPT11	15
88120	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	2		XXX		CPT11	15
88120	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	33.3		XXX		CPT11	15
88120	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	66.7		XXX		CPT11	15
88120	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0033	33.3		XXX		CPT11	15
88120	RUC	Lab	SL244	"water, de-ionized"	ml	0.017	3		XXX		CPT11	15
88120	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	1		XXX		CPT11	15
88120	RUC	Lab	SL253	Non-Gyn Filter unit	item	4.44	0.3		XXX		CPT11	15
88120	RUC	Lab	SL254	0.45 ?m pore filtration unit	item	10.138	0.7		XXX		CPT11	15
88120	RUC	Lab	SL255	12-well slides	item	0.84	1		XXX		CPT11	15
88120	RUC	Lab	SL256	ThinPrep  UroCyte filter	item	8.5	1		XXX		CPT11	15
88120	RUC	Lab	SL257	Humidity cards	item	0.3406	0.7		XXX		CPT11	15
88120	RUC	Lab	SL258	Control slides	kit	228	0.3		XXX		CPT11	15
88120	RUC	Lab	SL259	Bleach cleaning wipe	item	1.04	0.3		XXX		CPT11	15
88120	RUC	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.0876	47.5		XXX		CPT11	15
88120	RUC	Lab	SL261	FISH pre-treatment kit	kit	549	0.3		XXX		CPT11	15
88120	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.035	1		XXX		CPT11	15
88120	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		XXX		CPT11	15
88121	RUC	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7	1		XXX		CPT11	15
88121	RUC	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	176.8	1.3		XXX		CPT11	15
88121	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1.5		XXX		CPT11	15
88121	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.5		XXX		CPT11	15
88121	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	0.5		XXX		CPT11	15
88121	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.2		XXX		CPT11	15
88121	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1		XXX		CPT11	15
88121	RUC	Lab	SL024	centrifuge tube	item	0.054	3		XXX		CPT11	15
88121	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX		CPT11	15
88121	RUC	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.034	30		XXX		CPT11	15
88121	RUC	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	0.8	1		XXX		CPT11	15
88121	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	2.1		XXX		CPT11	15
88121	RUC	Lab	SL072	formalin	ml	0.009	0.2		XXX		CPT11	15
88121	RUC	Lab	SL080	immersion oil	ml	0.079	0.2		XXX		CPT11	15
88121	RUC	Lab	SL179	1.0N NaOH	ml	0.489	1.7		XXX		CPT11	15
88121	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	1.84		XXX		CPT11	15
88121	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	16.7		XXX		CPT11	15
88121	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	33.3		XXX		CPT11	15
88121	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0033	16.7		XXX		CPT11	15
88121	RUC	Lab	SL244	"water, de-ionized"	ml	0.017	1.5		XXX		CPT11	15
88121	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	1		XXX		CPT11	15
88121	RUC	Lab	SL253	Non-Gyn Filter unit	item	4.44	0.2		XXX		CPT11	15
88121	RUC	Lab	SL254	0.45 ?m pore filtration unit	item	10.138	0.3		XXX		CPT11	15
88121	RUC	Lab	SL255	12-well slides	item	0.84	1		XXX		CPT11	15
88121	RUC	Lab	SL256	ThinPrep  UroCyte filter	item	8.5	1		XXX		CPT11	15
88121	RUC	Lab	SL257	Humidity cards	item	0.3406	0.3		XXX		CPT11	15
88121	RUC	Lab	SL258	Control slides	kit	228	0.2		XXX		CPT11	15
88121	RUC	Lab	SL259	Bleach cleaning wipe	item	1.04	0.2		XXX		CPT11	15
88121	RUC	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.0876	47.5		XXX		CPT11	15
88121	RUC	Lab	SL261	FISH pre-treatment kit	kit	549	0.2		XXX		CPT11	15
88121	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.035	1		XXX		CPT11	15
88121	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	0.5		XXX		CPT11	15
88125	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4		XXX			
88125	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88125	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	4		XXX			
88125	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX			
88125	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX			
88125	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		XXX			
88125	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	1		XXX			
88125	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX			
88125	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	1		XXX			
88160	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
88160	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88160	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88160	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88160	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	16		XXX			
88160	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX			
88160	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	2		XXX			
88160	RUC	Lab	SL071	fixative spray	ml	0.047	0.8		XXX			
88160	RUC	Lab	SL085	label for microscope slides	item	0.026	4		XXX			
88160	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.8		XXX			
88160	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.46	1		XXX			
88160	RUC	Lab	SL122	"slide, microscope"	item	0.055	4		XXX			
88160	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	1		XXX			
88160	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.064	1		XXX			
88161	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
88161	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88161	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88161	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88161	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	16		XXX			
88161	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX			
88161	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	2		XXX			
88161	RUC	Lab	SL071	fixative spray	ml	0.047	0.8		XXX			
88161	RUC	Lab	SL085	label for microscope slides	item	0.026	4		XXX			
88161	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.8		XXX			
88161	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.46	1		XXX			
88161	RUC	Lab	SL122	"slide, microscope"	item	0.055	4		XXX			
88161	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	1		XXX			
88161	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.064	1		XXX			
88162	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
88162	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88162	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88162	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88162	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	28		XXX			
88162	RUC	Lab	SL030	"cover slip, glass"	item	0.079	7		XXX			
88162	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	2		XXX			
88162	RUC	Lab	SL071	fixative spray	ml	0.047	1		XXX			
88162	RUC	Lab	SL085	label for microscope slides	item	0.026	7		XXX			
88162	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1.4		XXX			
88162	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.46	2		XXX			
88162	RUC	Lab	SL122	"slide, microscope"	item	0.055	7		XXX			
88162	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	2		XXX			
88162	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.064	15		XXX			
88172	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT11	16
88172	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX		CPT11	16
88172	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX		CPT11	16
88172	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		XXX		CPT11	16
88172	RUC	Lab	SL020	bleach	ml	0.001	50		XXX		CPT11	16
88173	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
88173	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88173	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88173	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88173	RUC	Lab	SL024	centrifuge tube	item	0.054	1		XXX			
88173	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	36		XXX			
88173	RUC	Lab	SL030	"cover slip, glass"	item	0.079	9		XXX			
88173	RUC	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.034	3		XXX			
88173	RUC	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	0.8	1		XXX			
88173	RUC	Lab	SL041	"cytology, specimen filter (Transcyt)"	item	4.15	1		XXX			
88173	RUC	Lab	SL042	"cytology, transport prefilled container"	item	0.612	1		XXX			
88173	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	2		XXX			
88173	RUC	Lab	SL071	fixative spray	ml	0.047	1.8		XXX			
88173	RUC	Lab	SL085	label for microscope slides	item	0.026	9		XXX			
88173	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1.8		XXX			
88173	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	2		XXX			
88173	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.46	2		XXX			
88173	RUC	Lab	SL122	"slide, microscope"	item	0.055	9		XXX			
88173	RUC	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.089	25		XXX			
88173	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.064	2		XXX			
88177	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ		CPT11	16
88177	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		ZZZ		CPT11	16
88182	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX			
88182	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88182	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	5		XXX			
88182	RUC	Lab	SL024	centrifuge tube	item	0.054	2		XXX			
88182	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	4		XXX			
88182	RUC	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.568	1		XXX			
88182	RUC	Lab	SL084	Isoton II diluent	ml	0.002	5		XXX			
88182	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.048	10		XXX			
88182	RUC	Lab	SL115	propidium iodide	ml	5.07	1		XXX			
88182	RUC	Lab	SL141	"stain, Wright's soln"	ml	0.214	0.3		XXX			
88184	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	3		XXX			
88184	RUC	Lab	SL021	calibration beads (each test)	item	9.62	1		XXX			
88184	RUC	Lab	SL024	centrifuge tube	item	0.054	4		XXX			
88184	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX			
88184	RUC	Lab	SL084	Isoton II diluent	ml	0.002	5		XXX			
88184	RUC	Lab	SL089	lysing reagent (FACS)	ml	4.485	14		XXX			
88184	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.2		XXX			
88184	RUC	Lab	SL099	paraformaldehyde	gm	0.073	0.5		XXX			
88184	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	20		XXX			
88184	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.048	2		XXX			
88184	RUC	Lab	SL122	"slide, microscope"	item	0.055	1		XXX			
88184	RUC	Lab	SL141	"stain, Wright's soln"	ml	0.214	0.3		XXX			
88184	RUC	Lab	SL186	"antibody, flow cytometry (each test)"	item	8.5	1		XXX			
88185	RUC	Lab	SL024	centrifuge tube	item	0.054	4		XXX			
88185	RUC	Lab	SL084	Isoton II diluent	ml	0.002	5		XXX			
88185	RUC	Lab	SL089	lysing reagent (FACS)	ml	4.485	14		XXX			
88185	RUC	Lab	SL099	paraformaldehyde	gm	0.073	0.5		XXX			
88185	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	20		XXX			
88185	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.048	2		XXX			
88185	RUC	Lab	SL186	"antibody, flow cytometry (each test)"	item	8.5	1		XXX			
88300	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1				CPT13	Mar 11
88300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1				CPT13	Mar 11
88300	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	0.1				CPT13	Mar 11
88300	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1				CPT13	Mar 11
88300	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2				CPT13	Mar 11
88300	RUC	Lab	SL020	bleach	ml	0.001	10				CPT13	Mar 11
88300	RUC	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.643	1				CPT13	Mar 11
88302	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2				CPT13	Mar 11
88302	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1				CPT13	Mar 11
88302	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	0.1				CPT13	Mar 11
88302	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.1				CPT13	Mar 11
88302	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1				CPT13	Mar 11
88302	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1				CPT13	Mar 11
88302	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2				CPT13	Mar 11
88302	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2				CPT13	Mar 11
88302	RUC	Lab	SL020	bleach	ml	0.001	10				CPT13	Mar 11
88302	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1				CPT13	Mar 11
88302	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1				CPT13	Mar 11
88302	RUC	Lab	SL058	embedding cassette	item	0.159	1				CPT13	Mar 11
88302	RUC	Lab	SL060	embedding mold	item	0.149	1				CPT13	Mar 11
88302	RUC	Lab	SL061	embedding paraffin	kg	5.363	0.008				CPT13	Mar 11
88302	RUC	Lab	SL063	eosin y	gm	0.801	4				CPT13	Mar 11
88302	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50				CPT13	Mar 11
88302	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	14				CPT13	Mar 11
88302	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.1				CPT13	Mar 11
88302	RUC	Lab	SL085	label for microscope slides	item	0.026	1				CPT13	Mar 11
88302	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.062	0.1				CPT13	Mar 11
88302	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1				CPT13	Mar 11
88302	RUC	Lab	SL122	"slide, microscope"	item	0.055	1				CPT13	Mar 11
88302	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16				CPT13	Mar 11
88302	RUC	Lab	SL151	xylenes solvent	ml	0.012	30				CPT13	Mar 11
88302	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	30				CPT13	Mar 11
88302	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	4				CPT13	Mar 11
88302	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18				CPT13	Mar 11
88302	RUC	Lab	SL468	Paraffin repel	ml	0.1839	1				CPT13	Mar 11
88302	RUC	Lab	SL469	Clarifier	ml	0.005	2				CPT13	Mar 11
88302	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.005	5				CPT13	Mar 11
88302	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1				CPT13	Mar 11
88304	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2				CPT13	Mar 11
88304	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1				CPT13	Mar 11
88304	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	0.1				CPT13	Mar 11
88304	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.2				CPT13	Mar 11
88304	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1				CPT13	Mar 11
88304	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1				CPT13	Mar 11
88304	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4				CPT13	Mar 11
88304	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	2				CPT13	Mar 11
88304	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2				CPT13	Mar 11
88304	RUC	Lab	SL020	bleach	ml	0.001	10				CPT13	Mar 11
88304	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2				CPT13	Mar 11
88304	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1				CPT13	Mar 11
88304	RUC	Lab	SL058	embedding cassette	item	0.159	2				CPT13	Mar 11
88304	RUC	Lab	SL060	embedding mold	item	0.149	2				CPT13	Mar 11
88304	RUC	Lab	SL061	embedding paraffin	kg	5.363	0.016				CPT13	Mar 11
88304	RUC	Lab	SL063	eosin y	gm	0.801	8				CPT13	Mar 11
88304	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	100				CPT13	Mar 11
88304	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28				CPT13	Mar 11
88304	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.1				CPT13	Mar 11
88304	RUC	Lab	SL085	label for microscope slides	item	0.026	2				CPT13	Mar 11
88304	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.062	0.2				CPT13	Mar 11
88304	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1				CPT13	Mar 11
88304	RUC	Lab	SL122	"slide, microscope"	item	0.055	2				CPT13	Mar 11
88304	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	32				CPT13	Mar 11
88304	RUC	Lab	SL151	xylenes solvent	ml	0.012	60				CPT13	Mar 11
88304	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	60				CPT13	Mar 11
88304	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	8				CPT13	Mar 11
88304	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36				CPT13	Mar 11
88304	RUC	Lab	SL468	Paraffin repel	ml	0.1839	1				CPT13	Mar 11
88304	RUC	Lab	SL469	Clarifier	ml	0.005	4				CPT13	Mar 11
88304	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.005	10				CPT13	Mar 11
88304	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1				CPT13	Mar 11
88305	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2				CPT13	Mar 11
88305	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1				CPT13	Mar 11
88305	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	0.1				CPT13	Mar 11
88305	RUC	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.054	2				CPT13	Mar 11
88305	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.2				CPT13	Mar 11
88305	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1				CPT13	Mar 11
88305	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1				CPT13	Mar 11
88305	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4				CPT13	Mar 11
88305	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	1				CPT13	Mar 11
88305	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2				CPT13	Mar 11
88305	RUC	Lab	SL020	bleach	ml	0.001	10				CPT13	Mar 11
88305	RUC	Lab	SL030	"cover slip, glass"	item	0.079	6				CPT13	Mar 11
88305	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1				CPT13	Mar 11
88305	RUC	Lab	SL058	embedding cassette	item	0.159	2				CPT13	Mar 11
88305	RUC	Lab	SL060	embedding mold	item	0.149	2				CPT13	Mar 11
88305	RUC	Lab	SL061	embedding paraffin	kg	5.363	0.005				CPT13	Mar 11
88305	RUC	Lab	SL063	eosin y	gm	0.801	8				CPT13	Mar 11
88305	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50				CPT13	Mar 11
88305	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28				CPT13	Mar 11
88305	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.2				CPT13	Mar 11
88305	RUC	Lab	SL085	label for microscope slides	item	0.026	6				CPT13	Mar 11
88305	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.062	0.2				CPT13	Mar 11
88305	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	2				CPT13	Mar 11
88305	RUC	Lab	SL122	"slide, microscope"	item	0.055	6				CPT13	Mar 11
88305	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	32				CPT13	Mar 11
88305	RUC	Lab	SL151	xylenes solvent	ml	0.012	60				CPT13	Mar 11
88305	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	60				CPT13	Mar 11
88305	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	8				CPT13	Mar 11
88305	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36				CPT13	Mar 11
88305	RUC	Lab	SL468	Paraffin repel	ml	0.1839	1				CPT13	Mar 11
88305	RUC	Lab	SL469	Clarifier	ml	0.005	4				CPT13	Mar 11
88305	RUC	Lab	SL470	Marking Dyes	ml	0.3889	3				CPT13	Mar 11
88305	RUC	Lab	SL471	Q-tip	each	0.2154	3				CPT13	Mar 11
88305	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.005	5				CPT13	Mar 11
88305	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	2				CPT13	Mar 11
88307	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2				CPT13	Mar 11
88307	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1				CPT13	Mar 11
88307	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	0.1				CPT13	Mar 11
88307	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1.2				CPT13	Mar 11
88307	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2				CPT13	Mar 11
88307	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1				CPT13	Mar 11
88307	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8				CPT13	Mar 11
88307	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	5				CPT13	Mar 11
88307	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	8				CPT13	Mar 11
88307	RUC	Lab	SL020	bleach	ml	0.001	10				CPT13	Mar 11
88307	RUC	Lab	SL030	"cover slip, glass"	item	0.079	12				CPT13	Mar 11
88307	RUC	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.643	1				CPT13	Mar 11
88307	RUC	Lab	SL058	embedding cassette	item	0.159	12				CPT13	Mar 11
88307	RUC	Lab	SL060	embedding mold	item	0.149	12				CPT13	Mar 11
88307	RUC	Lab	SL061	embedding paraffin	kg	5.363	0.096				CPT13	Mar 11
88307	RUC	Lab	SL063	eosin y	gm	0.801	48				CPT13	Mar 11
88307	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	500				CPT13	Mar 11
88307	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	170				CPT13	Mar 11
88307	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.2				CPT13	Mar 11
88307	RUC	Lab	SL085	label for microscope slides	item	0.026	12				CPT13	Mar 11
88307	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.062	1.2				CPT13	Mar 11
88307	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	4				CPT13	Mar 11
88307	RUC	Lab	SL122	"slide, microscope"	item	0.055	12				CPT13	Mar 11
88307	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	192				CPT13	Mar 11
88307	RUC	Lab	SL151	xylenes solvent	ml	0.012	360				CPT13	Mar 11
88307	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	360				CPT13	Mar 11
88307	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	48				CPT13	Mar 11
88307	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	216				CPT13	Mar 11
88307	RUC	Lab	SL468	Paraffin repel	ml	0.1839	2				CPT13	Mar 11
88307	RUC	Lab	SL469	Clarifier	ml	0.005	24				CPT13	Mar 11
88307	RUC	Lab	SL470	Marking Dyes	ml	0.3889	5				CPT13	Mar 11
88307	RUC	Lab	SL471	Q-tip	each	0.2154	3				CPT13	Mar 11
88307	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.005	15				CPT13	Mar 11
88307	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	15				CPT13	Mar 11
88309	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2				CPT13	Mar 11
88309	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1				CPT13	Mar 11
88309	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	0.1				CPT13	Mar 11
88309	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1.8				CPT13	Mar 11
88309	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	3				CPT13	Mar 11
88309	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1				CPT13	Mar 11
88309	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10				CPT13	Mar 11
88309	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.012	3				CPT13	Mar 11
88309	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10				CPT13	Mar 11
88309	RUC	Lab	SL020	bleach	ml	0.001	10				CPT13	Mar 11
88309	RUC	Lab	SL030	"cover slip, glass"	item	0.079	18				CPT13	Mar 11
88309	RUC	Lab	SL058	embedding cassette	item	0.159	18				CPT13	Mar 11
88309	RUC	Lab	SL060	embedding mold	item	0.149	18				CPT13	Mar 11
88309	RUC	Lab	SL061	embedding paraffin	kg	5.363	0.144				CPT13	Mar 11
88309	RUC	Lab	SL063	eosin y	gm	0.801	72				CPT13	Mar 11
88309	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	750				CPT13	Mar 11
88309	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	252				CPT13	Mar 11
88309	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.2				CPT13	Mar 11
88309	RUC	Lab	SL085	label for microscope slides	item	0.026	18				CPT13	Mar 11
88309	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.062	1.8				CPT13	Mar 11
88309	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	6				CPT13	Mar 11
88309	RUC	Lab	SL122	"slide, microscope"	item	0.055	18				CPT13	Mar 11
88309	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	288				CPT13	Mar 11
88309	RUC	Lab	SL151	xylenes solvent	ml	0.012	540				CPT13	Mar 11
88309	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	540				CPT13	Mar 11
88309	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	72				CPT13	Mar 11
88309	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	324				CPT13	Mar 11
88309	RUC	Lab	SL468	Paraffin repel	ml	0.1839	2				CPT13	Mar 11
88309	RUC	Lab	SL469	Clarifier	ml	0.005	36				CPT13	Mar 11
88309	RUC	Lab	SL470	Marking Dyes	ml	0.3889	3				CPT13	Mar 11
88309	RUC	Lab	SL471	Q-tip	each	0.2154	1				CPT13	Mar 11
88309	RUC	Lab	SL472	Specimen containter	item	1.753	1				CPT13	Mar 11
88309	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.005	15				CPT13	Mar 11
88309	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	20				CPT13	Mar 11
88311	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88311	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		XXX			
88311	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		XXX			
88311	RUC	Lab	SL045	decalcifier solution	ml	0.017	40		XXX			
88311	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX			
88312	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX		CPT12	May 25
88312	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT12	May 25
88312	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT12	May 25
88312	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX		CPT12	May 25
88312	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX		CPT12	May 25
88312	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	5		XXX		CPT12	May 25
88312	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	5.24		XXX		CPT12	May 25
88312	RUC	Lab	SL020	bleach	ml	0.001	30		XXX		CPT12	May 25
88312	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX		CPT12	May 25
88312	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	1		XXX		CPT12	May 25
88312	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX		CPT12	May 25
88312	RUC	Lab	SL112	positive control slide	item	11.8	1		XXX		CPT12	May 25
88312	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX		CPT12	May 25
88312	RUC	Lab	SL130	spatula (pathology)	item	0.716	4		XXX		CPT12	May 25
88312	RUC	Lab	SL151	xylenes solvent	ml	0.012	50		XXX		CPT12	May 25
88312	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	255		XXX		CPT12	May 25
88312	RUC	Lab	SL264	uranyl nitrate	oz	8.309	1.69		XXX		CPT12	May 25
88312	RUC	Lab	SL265	hydroquinone	gm	7.28	0.5		XXX		CPT12	May 25
88312	RUC	Lab	SL266	gum mastic	gm	1.025	1.25		XXX		CPT12	May 25
88312	RUC	Lab	SL267	silver nitrate	gm	2.88	0.52		XXX		CPT12	May 25
88312	RUC	Lab	SL273	weighing boat	item	0.198	1		XXX		CPT12	May 25
88312	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	2		XXX		CPT12	May 25
88313	RUC	"Kit, Pack, Tray"	SA110	Congo Red kits	test	4.18	1		XXX		CPT12	May 25
88313	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX		CPT12	May 25
88313	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT12	May 25
88313	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT12	May 25
88313	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX		CPT12	May 25
88313	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX		CPT12	May 25
88313	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX		CPT12	May 25
88313	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	2.367		XXX		CPT12	May 25
88313	RUC	Lab	SL020	bleach	ml	0.001	30		XXX		CPT12	May 25
88313	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX		CPT12	May 25
88313	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	1		XXX		CPT12	May 25
88313	RUC	Lab	SL077	hematoxylin reagent	ml	0.32	25		XXX		CPT12	May 25
88313	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX		CPT12	May 25
88313	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	1		XXX		CPT12	May 25
88313	RUC	Lab	SL112	positive control slide	item	11.8	1		XXX		CPT12	May 25
88313	RUC	Lab	SL122	"slide, microscope"	item	0.055	1		XXX		CPT12	May 25
88313	RUC	Lab	SL128	sodium hydroxide	gm	0.064	1		XXX		CPT12	May 25
88313	RUC	Lab	SL130	spatula (pathology)	item	0.716	1		XXX		CPT12	May 25
88313	RUC	Lab	SL151	xylenes solvent	ml	0.012	50		XXX		CPT12	May 25
88313	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	235		XXX		CPT12	May 25
88313	RUC	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.159	0.25		XXX		CPT12	May 25
88313	RUC	Lab	SL268	ammonium hydroxide	ml	0.082	0.5		XXX		CPT12	May 25
88313	RUC	Lab	SL273	weighing boat	item	0.198	1		XXX		CPT12	May 25
88313	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1		XXX		CPT12	May 25
88314	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX		CPT12	May 25
88314	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT12	May 25
88314	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT12	May 25
88314	RUC	"Hypodermic, IV"	SC095	syringe filter	item	2.04	1		XXX		CPT12	May 25
88314	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	500		XXX		CPT12	May 25
88314	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX		CPT12	May 25
88314	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX		CPT12	May 25
88314	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		XXX		CPT12	May 25
88314	RUC	Lab	SL020	bleach	ml	0.001	30		XXX		CPT12	May 25
88314	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX		CPT12	May 25
88314	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.341	1		XXX		CPT12	May 25
88314	RUC	Lab	SL077	hematoxylin reagent	ml	0.32	25		XXX		CPT12	May 25
88314	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX		CPT12	May 25
88314	RUC	Lab	SL091	methylbutane (Isopentane)	ml	0.021	5		XXX		CPT12	May 25
88314	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.5		XXX		CPT12	May 25
88314	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	1		XXX		CPT12	May 25
88314	RUC	Lab	SL112	positive control slide	item	11.8	1		XXX		CPT12	May 25
88314	RUC	Lab	SL183	"slide, organosilane coated"	item	0.3733	2		XXX		CPT12	May 25
88314	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	125		XXX		CPT12	May 25
88314	RUC	Lab	SL268	ammonium hydroxide	ml	0.082	0.5		XXX		CPT12	May 25
88314	RUC	Lab	SL271	10% Gum Tragacanth/OCT	oz	1.995	0.067		XXX		CPT12	May 25
88314	RUC	Lab	SL272	cork disc (5 mm thick 15 mm diameter)	item	0.54	1		XXX		CPT12	May 25
88314	RUC	Lab	SL273	weighing boat	item	0.198	1		XXX		CPT12	May 25
88314	RUC	Lab	SL274	Oil Red O	ml	0.525	0.25		XXX		CPT12	May 25
88319	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX		CPT12	May 25
88319	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT12	May 25
88319	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT12	May 25
88319	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	400		XXX		CPT12	May 25
88319	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX		CPT12	May 25
88319	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX		CPT12	May 25
88319	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		CPT12	May 25
88319	RUC	"Pharmacy, Rx"	SH099	.9% sodium chloride	ml	0.012	1.1		XXX		CPT12	May 25
88319	RUC	Lab	SL001	acetone	ml	0.014	112		XXX		CPT12	May 25
88319	RUC	Lab	SL020	bleach	ml	0.001	30		XXX		CPT12	May 25
88319	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX		CPT12	May 25
88319	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX		CPT12	May 25
88319	RUC	Lab	SL091	methylbutane (Isopentane)	ml	0.021	5		XXX		CPT12	May 25
88319	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.5		XXX		CPT12	May 25
88319	RUC	Lab	SL104	"phosphate buffer, dibasic"	gm	0.048	85		XXX		CPT12	May 25
88319	RUC	Lab	SL105	"phosphate buffer, monobasic"	gm	0.038	15		XXX		CPT12	May 25
88319	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	3		XXX		CPT12	May 25
88319	RUC	Lab	SL151	xylenes solvent	ml	0.012	30		XXX		CPT12	May 25
88319	RUC	Lab	SL183	"slide, organosilane coated"	item	0.3733	1		XXX		CPT12	May 25
88319	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	160		XXX		CPT12	May 25
88319	RUC	Lab	SL269	NADH	mg	0.101	3		XXX		CPT12	May 25
88319	RUC	Lab	SL270	Nitro blue tetrazolium	mg	0.168	8		XXX		CPT12	May 25
88319	RUC	Lab	SL271	10% Gum Tragacanth/OCT	oz	1.995	0.067		XXX		CPT12	May 25
88319	RUC	Lab	SL273	weighing boat	item	0.198	1		XXX		CPT12	May 25
88321	RUC	Lab	SL085	label for microscope slides	item	0.026	10		XXX			
88323	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88323	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
88323	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88323	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.036	572		XXX			
88323	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88323	RUC	Lab	SL030	"cover slip, glass"	item	0.079	12		XXX			
88323	RUC	Lab	SL063	eosin y	gm	0.801	2.4		XXX			
88323	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.8		XXX			
88323	RUC	Lab	SL085	label for microscope slides	item	0.026	20		XXX			
88323	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	3		XXX			
88323	RUC	Lab	SL122	"slide, microscope"	item	0.055	12		XXX			
88323	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	4.8		XXX			
88323	RUC	Lab	SL149	waterbath reagent	ml	0.002	15		XXX			
88323	RUC	Lab	SL151	xylenes solvent	ml	0.012	500		XXX			
88323	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	6		XXX			
88325	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88325	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
88325	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88325	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.036	572		XXX			
88325	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88325	RUC	Lab	SL030	"cover slip, glass"	item	0.079	12		XXX			
88325	RUC	Lab	SL063	eosin y	gm	0.801	2.4		XXX			
88325	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.8		XXX			
88325	RUC	Lab	SL085	label for microscope slides	item	0.026	20		XXX			
88325	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	3		XXX			
88325	RUC	Lab	SL122	"slide, microscope"	item	0.055	12		XXX			
88325	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	4.8		XXX			
88325	RUC	Lab	SL149	waterbath reagent	ml	0.002	15		XXX			
88325	RUC	Lab	SL151	xylenes solvent	ml	0.012	500		XXX			
88325	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	6		XXX			
88329	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX			
88329	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
88329	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88329	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		XXX			
88329	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		XXX			
88329	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX			
88329	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88331	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX			
88331	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88331	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		XXX			
88331	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88331	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		XXX			
88331	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX			
88331	RUC	Lab	SL020	bleach	ml	0.001	50		XXX			
88331	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX			
88331	RUC	Lab	SL058	embedding cassette	item	0.159	1		XXX			
88331	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.1		XXX			
88331	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX			
88331	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.2		XXX			
88331	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	2		XXX			
88331	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX			
88331	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	1		XXX			
88331	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1		XXX			
88332	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX			
88332	RUC	Lab	SL058	embedding cassette	item	0.159	1		XXX			
88332	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.1		XXX			
88332	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX			
88332	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.2		XXX			
88332	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	2		XXX			
88332	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX			
88332	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	1		XXX			
88332	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1		XXX			
88333	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX	88170	RUC05	
88333	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX		RUC05	
88333	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		XXX		RUC05	
88333	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		XXX		RUC05	
88333	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX		RUC05	
88333	RUC	Lab	SL020	bleach	ml	0.001	50		XXX	88170	RUC05	
88333	RUC	Lab	SL030	"cover slip, glass"	item	0.079	10		XXX		RUC05	
88333	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX		RUC05	
88333	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.2		XXX		RUC05	
88333	RUC	Lab	SL122	"slide, microscope"	item	0.055	10		XXX		RUC05	
88333	RUC	Lab	SL231	"kit, stain, H&E"	kit	98.02	0.1		XXX	RUC05	RUC05	
88333	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1		XXX		RUC05	
88334	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX	88170	RUC05	
88334	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		XXX		RUC05	
88334	RUC	Lab	SL020	bleach	ml	0.001	50		XXX	88170	RUC05	
88334	RUC	Lab	SL030	"cover slip, glass"	item	0.079	10		XXX		RUC05	
88334	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX		RUC05	
88334	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.2		XXX		RUC05	
88334	RUC	Lab	SL122	"slide, microscope"	item	0.055	10		XXX		RUC05	
88334	RUC	Lab	SL231	"kit, stain, H&E"	kit	98.02	0.1		XXX	RUC05	RUC05	
88334	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1		XXX		RUC05	
88341	RUC		SA117	Universal Detection Kit	kit	4	2		XXX	88341	May 2014	May 29
88341	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.3		XXX	88341	May 2014	May 29
88341	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		XXX	88341	May 2014	May 29
88341	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL058	embedding cassette	item	0.159	1		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL060	embedding mold	item	0.149	1		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL122	"slide, microscope"	item	0.055	3		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL151	xylenes solvent	ml	0.012	50		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.64	3		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	101.71	0.00024691		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL477	Permanent marking pen	item	1.54	0.00065		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0049105	6		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.055775	12		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.010063	4.8		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034313	3		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6655	3		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.02256	0.2		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.5216	0.2		XXX	88341	May 2014	May 29
88341	RUC	Lab	SL485	Cover slip glue/Mounting media	ml	0.3	0.5		XXX	88341	May 2014	May 29
88341	Invoice		SL495	Anti CD45 Monoclonal Antibody	Test	3.61	2		XXX	88341	May 2014	May 29
88341	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.203	0.1		XXX	88341	May 2014	May 29
88341	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	2		XXX	88341	May 2014	May 29
88342	Invoice		SA117	Universal Detection Kit	kit	4	2		XXX	88342	May 2014	May 29
88342	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX	88342	May 2014	May 29
88342	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX	88342	May 2014	May 29
88342	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.3		XXX	88342	May 2014	May 29
88342		"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		XXX	88342	May 2014	May 29
88342	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1		XXX	88342	May 2014	May 29
88342	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX	88342	May 2014	May 29
88342	RUC	Lab	SL020	bleach	ml	0.001	10		XXX	88342	May 2014	May 29
88342	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX	88342	May 2014	May 29
88342		Lab	SL058	embedding cassette	item	0.159	1		XXX	88342	May 2014	May 29
88342		Lab	SL060	embedding mold	item	0.149	1		XXX	88342	May 2014	May 29
88342	RUC	Lab	SL122	"slide, microscope"	item	0.055	3		XXX	88342	May 2014	May 29
88342	RUC	Lab	SL151	xylenes solvent	ml	0.012	50		XXX	88342	May 2014	May 29
88342	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX	88342	May 2014	May 29
88342	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX	88342	May 2014	May 29
88342		Lab	SL474	Confirm anti-CD15 Mouse Monoclonal Antibody (Ventana 760-2504)	test	3.61	2		XXX	88342	May 2014	May 29
88342		Lab	SL475	E-bar labels (Ventana 1358501)	item	0.64	3		XXX	88342	May 2014	May 29
88342		Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	101.71	0.00024691		XXX	88342	May 2014	May 29
88342		Lab	SL477	Permanent marking pen	item	1.54	0.00065		XXX	88342	May 2014	May 29
88342		Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0049105	6		XXX	88342	May 2014	May 29
88342		Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.055775	12		XXX	88342	May 2014	May 29
88342		Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.010063	4.8		XXX	88342	May 2014	May 29
88342		Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034313	3		XXX	88342	May 2014	May 29
88342		Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6655	3		XXX	88342	May 2014	May 29
88342		Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.02256	0.2		XXX	88342	May 2014	May 29
88342		Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.5216	0.2		XXX	88342	May 2014	May 29
88342		Lab	SL485	Cover slip glue/Mounting media	ml	0.3	0.5		XXX	88342	May 2014	May 29
88342		Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.203	0.1		XXX	88342	May 2014	May 29
88342	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	2		XXX	88342	May 2014	May 29
88344	RUC		SA117	Universal Detection Kit	kit	4	4		XXX	88344	May 2014	May 29
88344	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX	88344	May 2014	May 29
88344	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX	88344	May 2014	May 29
88344	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.3		XXX	88344	May 2014	May 29
88344	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		XXX	88344	May 2014	May 29
88344	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	0.1		XXX	88344	May 2014	May 29
88344	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL020	bleach	ml	0.001	10		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL058	embedding cassette	item	0.159	1		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL060	embedding mold	item	0.149	1		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL122	"slide, microscope"	item	0.055	3		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL151	xylenes solvent	ml	0.012	50		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.64	3		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	101.71	0.00024691		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL477	Permanent marking pen	item	1.54	0.0065		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0049105	9		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.055775	18		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.010063	4.8		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034313	3		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6655	3		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.02256	0.2		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.5216	0.2		XXX	88344	May 2014	May 29
88344	RUC	Lab	SL485	Cover slip glue/Mounting media	ml	0.3	0.5		XXX	88344	May 2014	May 29
88344		Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.26	1		XXX	88344	May 2014	May 29
88344		Lab	SL487	"monoclonal rabbit anti-AMACR, clone 13 H4 (Cell Marque)"	ml	35.1429	0.1		XXX	88344	May 2014	May 29
88344	Invoice		SL496	34 Beta E12	Test	4.27	2		XXX	88344	May 2014	May 29
88344	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.203	0.1		XXX	88344	May 2014	May 29
88344	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	2		XXX	88344	May 2014	May 29
88346	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX			
88346	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88346	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88346	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88346	RUC	Lab	SL001	acetone	ml	0.014	9.9		XXX			
88346	RUC	Lab	SL009	antibody C3	ml	52.05	0.11		XXX			
88346	RUC	Lab	SL012	antibody IgA FITC	ml	71.4	0.11		XXX			
88346	RUC	Lab	SL013	antibody IgG FITC	ml	62.2	0.11		XXX			
88346	RUC	Lab	SL015	antibody IgM FITC	ml	62.2	0.11		XXX			
88346	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX			
88346	RUC	Lab	SL069	fixative (Michel's)	ml	0.151	25		XXX			
88346	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.33		XXX			
88346	RUC	Lab	SL085	label for microscope slides	item	0.026	3		XXX			
88346	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		XXX			
88346	RUC	Lab	SL096	negative control (anti-albumin)	ml	41.75	0.1		XXX			
88346	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	1		XXX			
88346	RUC	Lab	SL106	phosphate buffered saline packet (Zeus)	item	2.09	1		XXX			
88346	RUC	Lab	SL117	protein blocking agent	ml	0.894	1		XXX			
88346	RUC	Lab	SL122	"slide, microscope"	item	0.055	3		XXX			
88346	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	1		XXX			
88347	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	4		XXX			
88347	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX			
88347	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88347	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
88347	RUC	Lab	SL013	antibody IgG FITC	ml	62.2	0.22		XXX			
88347	RUC	Lab	SL014	antibody IgG1 FITC anti-human (each test)	item	2.3	1		XXX			
88347	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX			
88347	RUC	Lab	SL085	label for microscope slides	item	0.026	3		XXX			
88347	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		XXX			
88347	RUC	Lab	SL096	negative control (anti-albumin)	ml	41.75	0.1		XXX			
88347	RUC	Lab	SL117	protein blocking agent	ml	0.894	1		XXX			
88347	RUC	Lab	SL122	"slide, microscope"	item	0.055	3		XXX			
88348	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX	88348	November 2013	November 5
88348	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX	88348	November 2013	November 5
88348	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX	88348	November 2013	November 5
88348		"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		XXX	88348	November 2013	November 5
88348		"Hypodermic, IV"	SC095	syringe filter	item	2.04	1		XXX	88348	November 2013	November 5
88348		"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.003	250		XXX	88348	November 2013	November 5
88348		"Accessory, Procedure"	SD086	grids	item	0.11	4		XXX	88348	November 2013	November 5
88348		"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.261	2		XXX	88348	November 2013	November 5
88348		"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2		XXX	88348	November 2013	November 5
88348	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	18		XXX	88348	November 2013	November 5
88348		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX	88348	November 2013	November 5
88348		"Office Supply, Grocery"	SK097	canned air (Dust-Off)	oz	1.0208	0.05		XXX	88348	November 2013	November 5
88348		Lab	SL018	"beaker, 250 ml"	item	0.854	1		XXX	88348	November 2013	November 5
88348		Lab	SL025	chloroform	ml	0.027	0.1		XXX	88348	November 2013	November 5
88348	RUC	Lab	SL030	"cover slip, glass"	item	0.079	8		XXX	88348	November 2013	November 5
88348		Lab	SL044	DDSA	gm	0.042	3		XXX	88348	November 2013	November 5
88348		Lab	SL050	DMP 30	gm	0.236	0.4		XXX	88348	November 2013	November 5
88348		Lab	SL057	embedding capsules	item	0.045	8		XXX	88348	November 2013	November 5
88348		Lab	SL059	embedding epoxy (NMA)	ml	0.036	7		XXX	88348	November 2013	November 5
88348		Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	2		XXX	88348	November 2013	November 5
88348		Lab	SL074	glass strip (each)	item	3.167	0.25		XXX	88348	November 2013	November 5
88348		Lab	SL075	glutaraldehyde 25%	ml	0.148	1		XXX	88348	November 2013	November 5
88348		Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03		XXX	88348	November 2013	November 5
88348	RUC	Lab	SL085	label for microscope slides	item	0.026	11		XXX	88348	November 2013	November 5
88348		Lab	SL087	lens paper	item	0.027	1		XXX	88348	November 2013	November 5
88348	RUC	Lab	SL088	lint-free cloth	item	0.183	1		XXX	88348	November 2013	November 5
88348	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		XXX	88348	November 2013	November 5
88348		Lab	SL098	osmium tetroxide	gm	35	0.06		XXX	88348	November 2013	November 5
88348		Lab	SL103	petri dish	item	0.132	1		XXX	88348	November 2013	November 5
88348		Lab	SL108	pipette	item	0.033	2		XXX	88348	November 2013	November 5
88348		Lab	SL111	Poly Bed 812	gm	0.061	10		XXX	88348	November 2013	November 5
88348		Lab	SL116	propylene oxide	ml	0.031	30		XXX	88348	November 2013	November 5
88348	RUC	Lab	SL122	"slide, microscope"	item	0.055	8		XXX	88348	November 2013	November 5
88348		Lab	SL125	sodium cacodylate	gm	0.48	0.5		XXX	88348	November 2013	November 5
88348		Lab	SL127	sodium citrate	gm	0.018	0.1		XXX	88348	November 2013	November 5
88348		Lab	SL128	sodium hydroxide	gm	0.064	1		XXX	88348	November 2013	November 5
88348		Lab	SL147	uranyl acetate	gm	3.16	0.2		XXX	88348	November 2013	November 5
88348		Lab	SL154	alcohol ethyl 100%	ml	0.028	20		XXX	88348	November 2013	November 5
88348		Lab	SL155	"applicator, wood, 6.5in"	item	0.0079	3		XXX	88348	November 2013	November 5
88348		Lab	SL158	diamond knife cleaning rod	item	1	0.5		XXX	88348	November 2013	November 5
88348		Lab	SL159	"gas, nitrogen"	cu ft	2.708	0.1		XXX	88348	November 2013	November 5
88348		Lab	SL160	glass knife boat	item	0.2	1		XXX	88348	November 2013	November 5
88348		Lab	SL161	grid storage box (holds 50 grids)	item	3.75	0.08		XXX	88348	November 2013	November 5
88348		Lab	SL162	lead citrate	gm	0.51	0.01		XXX	88348	November 2013	November 5
88348		Lab	SL164	osmometer sample tip and cleaner	item	0.534	1		XXX	88348	November 2013	November 5
88348		Lab	SL165	"osmometer std, 50 mOsm-kg, 2ml amp"	ml	17	0.05		XXX	88348	November 2013	November 5
88348		Lab	SL166	"osmometer std, 850 mOsm-kg, 2ml amp"	ml	17	0.05		XXX	88348	November 2013	November 5
88348		Lab	SL167	"paper, weighing (glassine)"	item	0.021	1		XXX	88348	November 2013	November 5
88348		Lab	SL168	pipette bulb	item	0.2708	2		XXX	88348	November 2013	November 5
88348		Lab	SL169	"pipette, 9inch"	item	0.0537	2		XXX	88348	November 2013	November 5
88348		Lab	SL171	sodium barbital	gm	0.3151	0.1		XXX	88348	November 2013	November 5
88348		Lab	SL172	specimen block storage box	item	0.625	1		XXX	88348	November 2013	November 5
88348		Lab	SL173	"sucrose, reagent"	gm	0.037	0.6		XXX	88348	November 2013	November 5
88348		Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1		XXX	88348	November 2013	November 5
88348		Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.37715	1		XXX	88348	November 2013	November 5
88348		Lab	SL176	"vial, specimen-sample, 4ml"	item	0.55	1		XXX	88348	November 2013	November 5
88348		Lab	SL177	wax sheet	item	0.2848	1		XXX	88348	November 2013	November 5
88348		Infection Control	SM017	formaldehyde spill control	ml	0.005	5		XXX	88348	November 2013	November 5
88348	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	6		XXX	88348	November 2013	November 5
88355	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX		Feb05	
88355	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX		Feb05	
88355	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		XXX		Feb05	
88355	RUC	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.054	2		XXX		Feb05	
88355	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX		Feb05	
88355	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	2		XXX		Feb05	
88355	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX		Feb05	
88355	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		XXX		Feb05	
88355	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	6		XXX		Feb05	
88355	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	0.01		XXX		Feb05	
88355	RUC	"Office Supply, Grocery"	SK103	"cork sheet, 1cm x 1 cm"	item	0.02	4		XXX		Feb05	
88355	RUC	"Office Supply, Grocery"	SK104	"foil, aluminum, 10 cm x 10 cm"	item	0.02	1		XXX		Feb05	
88355	RUC	Lab	SL004	alcohol reagent solvent	ml	0.011	250		XXX		Feb05	
88355	RUC	Lab	SL005	"alcohol, acid"	ml	0.004	5.4		XXX		Feb05	
88355	RUC	Lab	SL020	bleach	ml	0.001	50		XXX		Feb05	
88355	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	12		XXX		Feb05	
88355	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX		Feb05	
88355	RUC	Lab	SL031	"cover slip, liquid (M-1)"	ml	0.039	0.1		XXX		Feb05	
88355	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		XXX		Feb05	
88355	RUC	Lab	SL058	embedding cassette	item	0.159	1		XXX		Feb05	
88355	RUC	Lab	SL060	embedding mold	item	0.149	1		XXX		Feb05	
88355	RUC	Lab	SL061	embedding paraffin	kg	5.363	0.012		XXX		Feb05	
88355	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50		XXX		Feb05	
88355	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	16		XXX		Feb05	
88355	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.443	0.2		XXX		Feb05	
88355	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX		Feb05	
88355	RUC	Lab	SL090	"methanol, absolute, 99.8% min."	ml	0.025	1.5		XXX		Feb05	
88355	RUC	Lab	SL091	methylbutane (Isopentane)	ml	0.021	300		XXX		Feb05	
88355	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.062	0.5		XXX		Feb05	
88355	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	3		XXX		Feb05	
88355	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.06	2		XXX		Feb05	
88355	RUC	Lab	SL108	pipette	item	0.033	1		XXX		Feb05	
88355	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX		Feb05	
88355	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.567	6		XXX		Feb05	
88355	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	5.4		XXX		Feb05	
88355	RUC	Lab	SL149	waterbath reagent	ml	0.002	3		XXX		Feb05	
88355	RUC	Lab	SL151	xylenes solvent	ml	0.012	1000		XXX		Feb05	
88355	RUC	Lab	SL188	"EM fixative, karnovsky's"	ml	0.086	15		XXX		Feb05	
88355	RUC	Lab	SL198	"label, vial"	item	0.0027	2		XXX		Feb05	
88355	RUC	Lab	SL199	"lithium carbonate, saturated"	ml	0.01	5.4		XXX		Feb05	
88355	RUC	Lab	SL201	"stain, eosin"	ml	0.0436	5.4		XXX		Feb05	
88355	RUC	Lab	SL203	"vial, 10 ml, plastic (-70 degree storage)"	item	1.016	1		XXX		Feb05	
88355	RUC	Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.708	1		XXX		Feb05	
88355	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.005	100		XXX		Feb05	
88355	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	2		XXX		Feb05	
88356		"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	6		XXX	88356	May 2014	May 49
88356	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX	88356	May 2014	May 49
88356	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		XXX	88356	May 2014	May 49
88356	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		XXX	88356	May 2014	May 49
88356	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		XXX	88356	May 2014	May 49
88356	RUC	"Hypodermic, IV"	SC095	syringe filter	item	2.04	4		XXX	88356	May 2014	May 49
88356	RUC	"Accessory, Procedure"	SD086	grids	item	0.11	4		XXX	88356	May 2014	May 49
88356	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.261	2		XXX	88356	May 2014	May 49
88356	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX	88356	May 2014	May 49
88356	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	5		XXX	88356	May 2014	May 49
88356		Lab	SL005	"alcohol, acid"	ml	0.004	5.4		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL018	"beaker, 250 ml"	item	0.854	3		XXX	88356	May 2014	May 49
88356		Lab	SL020	bleach	ml	0.001	40		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL030	"cover slip, glass"	item	0.079	5		XXX	88356	May 2014	May 49
88356		Lab	SL031	"cover slip, liquid (M-1)"	ml	0.039	0.1		XXX	88356	May 2014	May 49
88356		Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL044	DDSA	gm	0.042	3		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL050	DMP 30	gm	0.236	0.4		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL057	embedding capsules	item	0.045	8		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL059	embedding epoxy (NMA)	ml	0.036	7		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.125	2		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL074	glass strip (each)	item	3.167	0.25		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.148	15		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL085	label for microscope slides	item	0.026	8		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL087	lens paper	item	0.027	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL088	lint-free cloth	item	0.183	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	3		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL098	osmium tetroxide	gm	35	0.06		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL103	petri dish	item	0.132	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL108	pipette	item	0.033	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL111	Poly Bed 812	gm	0.061	10		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL116	propylene oxide	ml	0.031	30		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL122	"slide, microscope"	item	0.055	8		XXX	88356	May 2014	May 49
88356		Lab	SL149	waterbath reagent	ml	0.002	3		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL160	glass knife boat	item	0.2	2		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL167	"paper, weighing (glassine)"	item	0.021	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL168	pipette bulb	item	0.2708	4		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL169	"pipette, 9inch"	item	0.0537	4		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL172	specimen block storage box	item	0.625	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.37715	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL176	"vial, specimen-sample, 4ml"	item	0.55	1		XXX	88356	May 2014	May 49
88356	RUC	Lab	SL177	wax sheet	item	0.2848	1		XXX	88356	May 2014	May 49
88356		Lab	SL199	"lithium carbonate, saturated"	ml	0.01	5.4		XXX	88356	May 2014	May 49
88356		Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.708	1		XXX	88356	May 2014	May 49
88356	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.005	100		XXX	88356	May 2014	May 49
88356	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	6		XXX	88356	May 2014	May 49
88358	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88358	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88358	RUC	Lab	SL005	"alcohol, acid"	ml	0.004	0.2		XXX			
88358	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3		XXX			
88358	RUC	Lab	SL051	DNA 0.05N HCl rinse reagent	ml	0.004	0.2		XXX			
88358	RUC	Lab	SL052	DNA 0.1N HCl staining soln	ml	0.004	0.2		XXX			
88358	RUC	Lab	SL053	DNA 5N HCl	ml	0.004	0.2		XXX			
88358	RUC	Lab	SL054	DNA calibration slides	item	1.25	1		XXX			
88358	RUC	Lab	SL055	DNA stain kit (per test)	item	150	0.1		XXX			
88358	RUC	Lab	SL085	label for microscope slides	item	0.026	3		XXX			
88358	RUC	Lab	SL112	positive control slide	item	11.8	1		XXX			
88358	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX			
88358	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	5		XXX			
88358	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		XXX			
88360	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88360	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
88360	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88360	RUC	Lab	SL002	AEC buffer	ml	0.653	2		XXX			
88360	RUC	Lab	SL003	AEC chromogen	ml	18.667	0.12		XXX			
88360	RUC	Lab	SL010	antibody FITC monoclonal conjugate (each test)	item	3.544	1		XXX			
88360	RUC	Lab	SL017	background block	ml	0.245	5		XXX			
88360	RUC	Lab	SL019	"biotinylated link (mouse, rabbit)"	ml	1.995	0.4		XXX			
88360	RUC	Lab	SL030	"cover slip, glass"	item	0.079	7		XXX			
88360	RUC	Lab	SL077	hematoxylin reagent	ml	0.32	8		XXX			
88360	RUC	Lab	SL085	label for microscope slides	item	0.026	7		XXX			
88360	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	2		XXX			
88360	RUC	Lab	SL102	peroxide block	ml	0.049	50		XXX			
88360	RUC	Lab	SL106	phosphate buffered saline packet (Zeus)	item	2.09	1		XXX			
88360	RUC	Lab	SL112	positive control slide	item	11.8	2		XXX			
88360	RUC	Lab	SL122	"slide, microscope"	item	0.055	6		XXX			
88360	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX			
88360	RUC	Lab	SL142	streptavidin label	ml	3.98	0.4		XXX			
88360	RUC	Lab	SL145	tissue revival soln	ml	0.039	50		XXX			
88360	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		XXX			
88361	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88361	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
88361	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX			
88361	RUC	Lab	SL002	AEC buffer	ml	0.653	2		XXX			
88361	RUC	Lab	SL003	AEC chromogen	ml	18.667	0.12		XXX			
88361	RUC	Lab	SL010	antibody FITC monoclonal conjugate (each test)	item	3.544	1		XXX			
88361	RUC	Lab	SL017	background block	ml	0.245	5		XXX			
88361	RUC	Lab	SL019	"biotinylated link (mouse, rabbit)"	ml	1.995	0.4		XXX			
88361	RUC	Lab	SL030	"cover slip, glass"	item	0.079	7		XXX			
88361	RUC	Lab	SL077	hematoxylin reagent	ml	0.32	8		XXX			
88361	RUC	Lab	SL085	label for microscope slides	item	0.026	7		XXX			
88361	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	2		XXX			
88361	RUC	Lab	SL102	peroxide block	ml	0.049	50		XXX			
88361	RUC	Lab	SL106	phosphate buffered saline packet (Zeus)	item	2.09	1		XXX			
88361	RUC	Lab	SL112	positive control slide	item	11.8	2		XXX			
88361	RUC	Lab	SL122	"slide, microscope"	item	0.055	6		XXX			
88361	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX			
88361	RUC	Lab	SL142	streptavidin label	ml	3.98	0.4		XXX			
88361	RUC	Lab	SL145	tissue revival soln	ml	0.039	50		XXX			
88361	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		XXX			
88362	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	8		XXX			
88362	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
88362	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX			
88362	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX			
88362	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	2		XXX			
88362	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	2		XXX			
88362	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	2		XXX			
88362	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.261	4		XXX			
88362	RUC	Lab	SL001	acetone	ml	0.014	5		XXX			
88362	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.036	120		XXX			
88362	RUC	Lab	SL018	"beaker, 250 ml"	item	0.854	6		XXX			
88362	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	2		XXX			
88362	RUC	Lab	SL044	DDSA	gm	0.042	12		XXX			
88362	RUC	Lab	SL050	DMP 30	gm	0.236	1		XXX			
88362	RUC	Lab	SL061	embedding paraffin	kg	5.363	0.01		XXX			
88362	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.148	0.5		XXX			
88362	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX			
88362	RUC	Lab	SL088	lint-free cloth	item	0.183	1		XXX			
88362	RUC	Lab	SL098	osmium tetroxide	gm	35	0.01		XXX			
88362	RUC	Lab	SL099	paraformaldehyde	gm	0.073	0.005		XXX			
88362	RUC	Lab	SL103	petri dish	item	0.132	2		XXX			
88362	RUC	Lab	SL104	"phosphate buffer, dibasic"	gm	0.048	0.3		XXX			
88362	RUC	Lab	SL105	"phosphate buffer, monobasic"	gm	0.038	0.3		XXX			
88362	RUC	Lab	SL108	pipette	item	0.033	6		XXX			
88362	RUC	Lab	SL111	Poly Bed 812	gm	0.061	30		XXX			
88362	RUC	Lab	SL116	propylene oxide	ml	0.031	3		XXX			
88362	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX			
88362	RUC	Lab	SL125	sodium cacodylate	gm	0.48	0.016		XXX			
88362	RUC	Lab	SL127	sodium citrate	gm	0.018	0.25		XXX			
88362	RUC	Lab	SL128	sodium hydroxide	gm	0.064	5		XXX			
88362	RUC	Lab	SL130	spatula (pathology)	item	0.716	2		XXX			
88362	RUC	Lab	SL147	uranyl acetate	gm	3.16	1		XXX			
88362	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	8		XXX			
88364	RUC		SA117	Universal Detection Kit	kit	4	2		XXX	88364	May 2014	May 29
88364	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.25		XXX	88364	May 2014	May 29
88364	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.5		XXX	88364	May 2014	May 29
88364	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.25		XXX	88364	May 2014	May 29
88364	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX	88364	May 2014	May 29
88364	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX	88364	May 2014	May 29
88364	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL178	0.2N HCL	ml	0.013	12.5		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.25		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	12.5		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	1		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.015		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	1		XXX	88364	May 2014	May 29
88364	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5		XXX	88364	May 2014	May 29
88364	Invoice		SL500	CMV DNA Probe Cocktail	ul	0.095	40		XXX	88364	May 2014	May 29
88364		Lab	SL512	positive control slide (proxy for CMV Positive Control Slide)	item	11.8	0.5		XXX	88364	May 2014	May 29
88364		Lab	SL513	positive control slide (proxy for CMV Negative Control Slide)	item	11.8	0.5		XXX	88364	May 2014	May 29
88364	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.5		XXX	88364	May 2014	May 29
88365	RUC		SA117	Universal Detection Kit	kit	4	2		XXX	88365	May 2014	May 29
88365	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.25		XXX	88365	May 2014	May 29
88365	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX	88365	May 2014	May 29
88365	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.25		XXX	88365	May 2014	May 29
88365		"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.5		XXX	88365	May 2014	May 29
88365	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.25		XXX	88365	May 2014	May 29
88365		"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX	88365	May 2014	May 29
88365		"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX	88365	May 2014	May 29
88365	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL020	bleach	ml	0.001	10		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX	88365	May 2014	May 29
88365		Lab	SL063	eosin y	gm	0.801	4		XXX	88365	May 2014	May 29
88365		Lab	SL080	immersion oil	ml	0.079	0.1		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88365	May 2014	May 29
88365		Lab	SL178	0.2N HCL	ml	0.013	12.5		XXX	88365	May 2014	May 29
88365		Lab	SL179	1.0N NaOH	ml	0.489	0.25		XXX	88365	May 2014	May 29
88365		Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	12.5		XXX	88365	May 2014	May 29
88365		Lab	SL181	"pipette tips, sterile"	item	0.0627	1		XXX	88365	May 2014	May 29
88365		Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.015		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX	88365	May 2014	May 29
88365		Lab	SL191	"ethanol, 85%"	ml	0.0033	12.5		XXX	88365	May 2014	May 29
88365		Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX	88365	May 2014	May 29
88365		Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	1		XXX	88365	May 2014	May 29
88365	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5		XXX	88365	May 2014	May 29
88365	Invoice		SL497	(EBER) DNA Probe Cocktail	Test	8.57	2		XXX	88365	May 2014	May 29
88365	Invoice	Lab	SL507	EBER positive control slide	item	20.15	0.5		XXX	88365	May 2014	May 29
88365		Lab	SL516	positive control slide (proxy for EBER Negative Control Slide)	item	11.8	0.5		XXX	88365	May 2014	May 29
88365		Infection Control	SM016	"eye shield, splash protection"	item	1.471	0.25		XXX	88365	May 2014	May 29
88365	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.5		XXX	88365	May 2014	May 29
88366	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.25		XXX	88366	May 2014	May 29
88366	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX	88366	May 2014	May 29
88366	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.25		XXX	88366	May 2014	May 29
88366	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.5		XXX	88366	May 2014	May 29
88366	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.25		XXX	88366	May 2014	May 29
88366	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX	88366	May 2014	May 29
88366	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX	88366	May 2014	May 29
88366	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL020	bleach	ml	0.001	10		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL178	0.2N HCL	ml	0.013	12.5		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.25		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	12.5		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	1		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.015		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0033	12.5		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	1		XXX	88366	May 2014	May 29
88366	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5		XXX	88366	May 2014	May 29
88366		Lab	SL514	positive control slide (proxy for IGH@BCL2 Positive Control Slide)	item	11.8	0.5		XXX	88366	May 2014	May 29
88366		Lab	SL515	positive control slide (proxy for IGH@BCL2 Negative Control Slide )	item	11.8	0.5		XXX	88366	May 2014	May 29
88366	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	0.25		XXX	88366	May 2014	May 29
88366	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.5		XXX	88366	May 2014	May 29
88367	RUC		SA117	Universal Detection Kit	kit	4	1.4		XXX	88367	May 2014	May 29
88367	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.125		XXX	88367	May 2014	May 29
88367	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX	88367	May 2014	May 29
88367	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.125		XXX	88367	May 2014	May 29
88367	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.2		XXX	88367	May 2014	May 29
88367	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.125		XXX	88367	May 2014	May 29
88367	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX	88367	May 2014	May 29
88367	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2		XXX	88367	May 2014	May 29
88367	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL020	bleach	ml	0.001	4.5		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL080	immersion oil	ml	0.079	0.05		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL085	label for microscope slides	item	0.026	1.4		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL122	"slide, microscope"	item	0.055	1.4		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL178	0.2N HCL	ml	0.013	6.25		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.125		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	6.25		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	0.75		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.0075		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0033	6.25		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	0.75		XXX	88367	May 2014	May 29
88367	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX	88367	May 2014	May 29
88367	Invoice		SL498	Kappa Probe Cocktail	ul	0.095	28		XXX	88367	May 2014	May 29
88367		Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	11.8	0.2		XXX	88367	May 2014	May 29
88367		Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	11.8	0.2		XXX	88367	May 2014	May 29
88367	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	0.125		XXX	88367	May 2014	May 29
88367	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.2		XXX	88367	May 2014	May 29
88368	RUC		SA117	Universal Detection Kit	kit	4	2		XXX	88368	May 2014	May 29
88368	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.25		XXX	88368	May 2014	May 29
88368	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX	88368	May 2014	May 29
88368	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.25		XXX	88368	May 2014	May 29
88368	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.5		XXX	88368	May 2014	May 29
88368	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.25		XXX	88368	May 2014	May 29
88368	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX	88368	May 2014	May 29
88368	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX	88368	May 2014	May 29
88368	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL020	bleach	ml	0.001	10		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL178	0.2N HCL	ml	0.013	12.5		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.25		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	12.5		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	1		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.015		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0033	6.25		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	1		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX	88368	May 2014	May 29
88368	RUC		SL498	Kappa Probe Cocktail	ul	0.095	28		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	11.8	0.2		XXX	88368	May 2014	May 29
88368	RUC	Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	11.8	0.2		XXX	88368	May 2014	May 29
88368	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	0.25		XXX	88368	May 2014	May 29
88368	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.5		XXX	88368	May 2014	May 29
88369	RUC		SA117	Universal Detection Kit	kit	4	2		XXX	88369	May 2014	May 29
88369	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.25		XXX	88369	May 2014	May 29
88369	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.5		XXX	88369	May 2014	May 29
88369	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.25		XXX	88369	May 2014	May 29
88369	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX	88369	May 2014	May 29
88369	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX	88369	May 2014	May 29
88369	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL178	0.2N HCL	ml	0.013	12.5		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.25		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	12.5		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	1		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.015		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	1		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX	88369	May 2014	May 29
88369	RUC		SL499	Lambda Probe Cocktail	ul	0.095	28		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	11.8	0.2		XXX	88369	May 2014	May 29
88369	RUC	Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	11.8	0.2		XXX	88369	May 2014	May 29
88369	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.5		XXX	88369	May 2014	May 29
88373	RUC		SA117	Universal Detection Kit	kit	4	1.4		XXX	88373	May 2014	May 29
88373	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.125		XXX	88373	May 2014	May 29
88373	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.2		XXX	88373	May 2014	May 29
88373	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.125		XXX	88373	May 2014	May 29
88373	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX	88373	May 2014	May 29
88373	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2		XXX	88373	May 2014	May 29
88373	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL080	immersion oil	ml	0.079	0.05		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL085	label for microscope slides	item	0.026	1.4		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL122	"slide, microscope"	item	0.055	1.4		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL178	0.2N HCL	ml	0.013	6.25		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.125		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	6.25		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	0.75		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.0075		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	0.75		XXX	88373	May 2014	May 29
88373	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX	88373	May 2014	May 29
88373	Invoice		SL499	Lambda Probe Cocktail	ul	0.095	28		XXX	88373	May 2014	May 29
88373		Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	11.8	0.2		XXX	88373	May 2014	May 29
88373		Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	11.8	0.2		XXX	88373	May 2014	May 29
88373	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.2		XXX	88373	May 2014	May 29
88374	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.125		XXX	88374	May 2014	May 29
88374	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX	88374	May 2014	May 29
88374	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.125		XXX	88374	May 2014	May 29
88374	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.2		XXX	88374	May 2014	May 29
88374	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.125		XXX	88374	May 2014	May 29
88374	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX	88374	May 2014	May 29
88374	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2		XXX	88374	May 2014	May 29
88374	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL020	bleach	ml	0.001	4.5		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88374	May 2014	May 29
88374		Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.25		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL080	immersion oil	ml	0.079	0.05		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL085	label for microscope slides	item	0.026	1.4		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL122	"slide, microscope"	item	0.055	1.4		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL178	0.2N HCL	ml	0.013	6.25		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.125		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	6.25		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	0.75		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.0075		XXX	88374	May 2014	May 29
88374		Lab	SL184	"slide, negative control, Her-2"	item	29.4	0.2		XXX	88374	May 2014	May 29
88374		Lab	SL185	"slide, positive control, Her-2"	item	29.4	0.2		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0033	6.25		XXX	88374	May 2014	May 29
88374		Lab	SL192	formamide	ml	0.22	6.25		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	0.75		XXX	88374	May 2014	May 29
88374		Lab	SL196	"kit, HER-2/neu DNA Probe"	kit	105	1		XXX	88374	May 2014	May 29
88374	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX	88374	May 2014	May 29
88374	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	0.125		XXX	88374	May 2014	May 29
88374	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.2		XXX	88374	May 2014	May 29
88377	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.25		XXX	88377	May 2014	May 29
88377	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX	88377	May 2014	May 29
88377	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	0.25		XXX	88377	May 2014	May 29
88377	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	0.5		XXX	88377	May 2014	May 29
88377	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	0.25		XXX	88377	May 2014	May 29
88377	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX	88377	May 2014	May 29
88377	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5		XXX	88377	May 2014	May 29
88377	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	175		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL020	bleach	ml	0.001	10		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL063	eosin y	gm	0.801	4		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.5		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL080	immersion oil	ml	0.079	0.1		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL085	label for microscope slides	item	0.026	2		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL122	"slide, microscope"	item	0.055	2		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL178	0.2N HCL	ml	0.013	12.5		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL179	1.0N NaOH	ml	0.489	0.25		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.025	12.5		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0627	1		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	67	0.015		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL184	"slide, negative control, Her-2"	item	29.4	0.2		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL185	"slide, positive control, Her-2"	item	29.4	0.2		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL191	"ethanol, 85%"	ml	0.0033	6.25		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL192	formamide	ml	0.22	12.5		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	20.85	1		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL196	"kit, HER-2/neu DNA Probe"	kit	105	1		XXX	88377	May 2014	May 29
88377	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX	88377	May 2014	May 29
88377	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	0.25		XXX	88377	May 2014	May 29
88377	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	0.5		XXX	88377	May 2014	May 29
88380	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		XXX	88380	March 2014	March 9
88380		"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX	88380	March 2014	March 9
88380		"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		XXX	88380	March 2014	March 9
88380		"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX	88380	March 2014	March 9
88380		"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX	88380	March 2014	March 9
88380		Lab	SL030	"cover slip, glass"	item	0.079	1		XXX	88380	March 2014	March 9
88380		Lab	SL085	label for microscope slides	item	0.026	11		XXX	88380	March 2014	March 9
88380		Lab	SL095	mounting media (Histomount)	ml	0.035	2		XXX	88380	March 2014	March 9
88380		Lab	SL122	"slide, microscope"	item	0.055	11		XXX	88380	March 2014	March 9
88380		Lab	SL135	"stain, hematoxylin"	ml	0.044	1		XXX	88380	March 2014	March 9
88380		Lab	SL151	xylenes solvent	ml	0.012	100		XXX	88380	March 2014	March 9
88380		Lab	SL189	"ethanol, 100%"	ml	0.0033	100		XXX	88380	March 2014	March 9
88380		Lab	SL190	"ethanol, 70%"	ml	0.0033	100		XXX	88380	March 2014	March 9
88380		Lab	SL201	"stain, eosin"	ml	0.0436	1		XXX	88380	March 2014	March 9
88380		Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.072	2		XXX	88380	March 2014	March 9
88380		Lab	SL246	"buffer, lysis"	ml	0.46	0.05		XXX	88380	March 2014	March 9
88380		Lab	SL247	"caps, Capsure Macro LCM"	ml	4.54	2		XXX	88380	March 2014	March 9
88380		Lab	SL248	"ethanol, 95%"	ml	0.0033	100		XXX	88380	March 2014	March 9
88380		Lab	SL250	methylene blue stain	ml	0.178	11		XXX	88380	March 2014	March 9
88380	Invoice		SL494	Surface Decontaminant (DNA Away)	ml	0.07	2		XXX	88380	March 2014	March 9
88380		Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1		XXX	88380	March 2014	March 9
88381	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		XXX	88381	March 2014	March 9
88381	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.723	1		XXX	88381	March 2014	March 9
88381	RUC	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.73	2		XXX	88381	March 2014	March 9
88381	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX	88381	March 2014	March 9
88381	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL085	label for microscope slides	item	0.026	9		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	2		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL122	"slide, microscope"	item	0.055	9		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	1		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL151	xylenes solvent	ml	0.012	100		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	100		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	100		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL201	"stain, eosin"	ml	0.0436	1		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.072	2		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL246	"buffer, lysis"	ml	0.46	0.05		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	100		XXX	88381	March 2014	March 9
88381	RUC	Lab	SL250	methylene blue stain	ml	0.178	8		XXX	88381	March 2014	March 9
88381		Lab	SL251	Rnase-free water	ml	0.85	50		XXX	88381	March 2014	March 9
88381	RUC		SL494	Surface Decontaminant (DNA Away)	ml	0.07	2		XXX	88381	March 2014	March 9
88381	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	1		XXX	88381	March 2014	March 9
88387	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		CPT10	19
88387	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT10	19
88387	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	1		XXX		CPT10	19
88387	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		XXX		CPT10	19
88387	RUC	Lab	SL020	bleach	ml	0.001	50		XXX		CPT10	19
88387	RUC	Lab	SL103	petri dish	item	0.132	1		XXX		CPT10	19
88387	RUC	Lab	SL167	"paper, weighing (glassine)"	item	0.021	1		XXX		CPT10	19
88387	RUC	Lab	SL245	"weighing dishes, pour boats"	item	0.216	1		XXX		CPT10	19
88387	RUC	Lab	SL263	"Plastic storage container, 11oz"	item		1		XXX		CPT10	19
88388	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		CPT10	19
88388	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.645	1		XXX		CPT10	19
88388	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.143	1		XXX		CPT10	19
88388	RUC	Lab	SL020	bleach	ml	0.001	50		XXX		CPT10	19
88388	RUC	Lab	SL103	petri dish	item	0.132	1		XXX		CPT10	19
88388	RUC	Lab	SL167	"paper, weighing (glassine)"	item	0.021	1		XXX		CPT10	19
88388	RUC	Lab	SL245	"weighing dishes, pour boats"	item	0.216	1		XXX		CPT10	19
88388	RUC	Lab	SL263	"Plastic storage container, 11oz"	item		1		XXX		CPT10	19
89049	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		XXX		RUC05	
89049	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
89049	RUC	"Gown, Drape"	SB030	"lab coat, staff"	item	4.522	1		XXX		RUC05	
89049	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	8		XXX		RUC05	
89049	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	1		XXX		RUC05	
89049	RUC	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	4.2615	4		XXX		RUC05	
89049	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.087	30		XXX		RUC05	
89049	RUC	Lab	SL104	"phosphate buffer, dibasic"	gm	0.048	0.6		XXX		RUC05	
89049	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.048	24		XXX		RUC05	
89049	RUC	Lab	SL143	test tube	item	0.273	8		XXX		RUC05	
89049	RUC	Lab	SL211	caffeine	gm	0.214	2		XXX		RUC05	
89049	RUC	Lab	SL212	"CHCT buffer (NaCl, NaHCO3, KCl, KH2PO4, MgSO4,CaCl12-2H20)"	liter	1.24	1		XXX		RUC05	
89049	RUC	Lab	SL222	"gas, halothane"	ml	0.104	24		XXX		RUC05	
89049	RUC	Lab	SL223	"gas, mixture, tank G, 5% CO2 and 95% O2"	item	20	0.333		XXX		RUC05	
89049	RUC	Lab	SL224	"gas, mixture, tank H"	item	20	0.333		XXX		RUC05	
89049	RUC	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.159	1		XXX		RUC05	
89049	RUC	Lab	SL232	KOH	gm	0.084	2		XXX		RUC05	
89049	RUC	Lab	SL245	"weighing dishes, pour boats"	item	0.216	4		XXX		RUC05	
89049	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	8		XXX		RUC05	
89049	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.013	50		XXX		RUC05	
89220	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	4		XXX			
89220	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		XXX			
90460	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.5		XXX		CPT11	18
90460	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		CPT11	18
90460	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT11	18
90460	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT11	18
90460	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.005	1		XXX		CPT11	18
90471	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
90471	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX			
90471	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
90471	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
90471	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.005	1		XXX			
90472	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		ZZZ			
90472	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		ZZZ			
90472	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ			
90472	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.005	1		ZZZ			
90473	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	90471	CPT11	
90473	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX	90471	CPT11	
90473	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	90471	CPT11	
90473	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX	90471	CPT11	
90473	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.005	1		XXX	90471	CPT11	
90474	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		ZZZ	90472	CPT11	
90474	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		ZZZ	90472	CPT11	
90474	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ	90472	CPT11	
90474	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.005	1		ZZZ	90472	CPT11	
90791	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	1		XXX		CPT13	May 28
90791	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT13	May 28
90791	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	May 28
90792	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	1		XXX		CPT13	May 28
90792	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT13	May 28
90792	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	May 28
90832	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	0.25		XXX		CPT13	CMS
90832	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	CMS
90832	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5		XXX		CPT13	CMS
90833	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	0.25		ZZZ		CPT13	May 28
90833	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		ZZZ		CPT13	May 28
90833	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5		ZZZ		CPT13	May 28
90834	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	0.25		XXX		CPT13	CMS
90834	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	CMS
90834	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5		XXX		CPT13	CMS
90836	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	0.25		ZZZ		CPT13	May 28
90836	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		ZZZ		CPT13	May 28
90836	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5		ZZZ		CPT13	May 28
90837	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	0.25		XXX		CPT13	CMS
90837	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	CMS
90837	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5		XXX		CPT13	CMS
90838	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	0.25		ZZZ		CPT13	May 28
90838	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		ZZZ		CPT13	May 28
90838	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5		ZZZ		CPT13	May 28
90839	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	0.25		XXX		CPT14	May 48
90839	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.1		XXX		CPT14	May 48
90839	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5		XXX		CPT14	May 48
90840	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		ZZZ		CPT14	May 48
90845	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	May 28
90846	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	May 28
90847	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	May 28
90853	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.52	0.05		XXX		CPT13	May 28
90865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Mar03	8
90865	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		Mar03	8
90865	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	198		XXX		Mar03	8
90870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	8
90870	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		Mar03	8
90870	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		Mar03	8
90870	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.312	2		000		Mar03	8
90870	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	198		000		Mar03	8
90870	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	2		000		Mar03	8
90870	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Mar03	8
90870	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	8		000		Mar03	8
90875	RUC	"Kit, Pack, Tray"	SA001	"kit, activity-crafts"	kit	2.25	0.04		ZZZ		CPT14	May 48
90875	RUC	"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	0.2		ZZZ		CPT14	May 48
90876	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.312	1		XXX		Mar03	8
90876	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		Mar03	8
90876	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Mar03	8
90876	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.13	1		XXX		Mar03	8
90901	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
90901	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
90901	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
90901	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
90901	RUC	"Accessory, Procedure"	SD063	"electrode, TENS-EMS, 2in x 2in (4 pack uou)"	item	5.277	0.5		000			
90901	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
90901	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
90901	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.016	1		000			
90901	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
90901	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		000			
90901	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		000			
90911	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
90911	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000			
90911	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
90911	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000			
90911	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
90911	RUC	"Accessory, Procedure"	SD057	"electrode, external pelvic muscle"	item	0.9	3		000			
90911	RUC	"Accessory, Procedure"	SD113	"sensor, EMG, vaginal-rectal"	item	44.5	0.2		000			
90911	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000			
90911	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
90911	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.016	1		000			
90911	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		000			
90911	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		000			
91010	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	19
91010	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	19
91010	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		CPT11	19
91010	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT11	19
91010	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	19
91010	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		CPT11	19
91010	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		CPT11	19
91010	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	5		000		CPT11	19
91010	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		CPT11	19
91010	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	20		000		CPT11	19
91010	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT11	19
91010	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	2		000		CPT11	19
91010	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		CPT11	19
91010	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		CPT11	19
91010	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT11	19
91010	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000		CPT11	19
91010	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		000		CPT11	19
91010	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		000		CPT11	19
91010	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	5		000		CPT11	19
91010	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000		CPT11	19
91010	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000		CPT11	19
91013	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		ZZZ		CPT11	19
91013	RUC	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.973	1		ZZZ		CPT11	19
91013	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		CPT11	19
91013	RUC	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.159	10		ZZZ		CPT11	19
91020	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	16
91020	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar03	16
91020	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		Mar03	16
91020	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar03	16
91020	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Mar03	16
91020	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Mar03	16
91020	RUC	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	7.65	1		000		Mar03	16
91020	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		000		Mar03	16
91020	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Mar03	16
91020	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Mar03	16
91020	RUC	"Accessory, Procedure"	SD203	"sensor, manometry"	item	25	1		000		Mar03	16
91020	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000		Mar03	16
91020	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Mar03	16
91020	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		Mar03	16
91020	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Mar03	16
91020	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	16
91020	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	16
91020	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		Mar03	16
91020	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000		Mar03	16
91020	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		000		Mar03	16
91020	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		000		Mar03	16
91022	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		RUC05	
91022	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		RUC05	
91022	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		RUC05	
91022	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		RUC05	
91022	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		RUC05	
91022	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		RUC05	
91022	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		RUC05	
91022	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		000		RUC05	
91022	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		RUC05	
91022	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		RUC05	
91022	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000		RUC05	
91022	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		RUC05	
91022	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	5		000		RUC05	
91022	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		000		RUC05	
91022	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		RUC05	
91022	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		RUC05	
91022	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		RUC05	
91022	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000		RUC05	
91022	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		RUC05	
91030	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	16
91030	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar03	16
91030	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		Mar03	16
91030	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar03	16
91030	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Mar03	16
91030	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		Mar03	16
91030	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		000		Mar03	16
91030	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	8		000		Mar03	16
91030	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Mar03	16
91030	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		000		Mar03	16
91030	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Mar03	16
91030	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Mar03	16
91030	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000		Mar03	16
91030	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Mar03	16
91030	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000		Mar03	16
91030	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		Mar03	16
91030	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	16
91030	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Mar03	16
91030	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		Mar03	16
91030	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000		Mar03	16
91030	RUC	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	1		000		Mar03	16
91034	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
91034	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
91034	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
91034	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
91034	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
91034	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
91034	RUC	"Accessory, Procedure"	SD060	"electrode, internal for pH"	item	41.6	1		000			
91034	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
91034	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
91034	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000			
91034	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
91034	RUC	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.4	5		000			
91034	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000			
91034	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
91034	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
91034	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
91034	RUC	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60		000			
91034	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000			
91035	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
91035	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
91035	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
91035	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
91035	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
91035	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
91035	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
91035	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
91035	RUC	"Accessory, Procedure"	SD204	"sensor, pH capsule (Bravo)"	item	225	1		000			
91035	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000			
91035	RUC	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.4	5		000			
91035	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000			
91035	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
91035	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
91035	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
91035	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000			
91037	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
91037	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
91037	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
91037	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
91037	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
91037	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
91037	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
91037	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
91037	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000			
91037	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000			
91037	RUC	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.4	5		000			
91037	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000			
91037	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
91037	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
91037	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
91037	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000			
91037	RUC	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.25	80		000			
91037	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	4		000			
91038	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Feb10	23
91038	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		Feb10	23
91038	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		Feb10	23
91038	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		Feb10	23
91038	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		Feb10	23
91038	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Feb10	23
91038	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Feb10	23
91038	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Feb10	23
91038	RUC	"Accessory, Procedure"	SD230	"impedance catheter, infusion"	item	95	1		000		Feb10	23
91038	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	5		000		Feb10	23
91038	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Feb10	23
91038	RUC	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.4	5		000		Feb10	23
91038	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000		Feb10	23
91038	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Feb10	23
91038	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000		Feb10	23
91038	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		Feb10	23
91038	RUC	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60		000		Feb10	23
91038	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000		Feb10	23
91038	RUC	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.25	1		000		Feb10	23
91038	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		Feb10	23
91038	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		000		Feb10	23
91038	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		000		Feb10	23
91038	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	2		000		Feb10	23
91040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
91040	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
91040	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
91040	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
91040	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
91040	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
91040	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
91040	RUC	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	237.5	1		000			
91040	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	5		000			
91040	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
91040	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	20		000			
91040	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
91040	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
91040	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		000			
91040	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
91040	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		000			
91065	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 22
91065	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000		CPT14	May 22
91065	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 22
91065	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT14	May 22
91065	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT14	May 22
91065	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.621	1		000		CPT14	May 22
91065	RUC	"Hypodermic, IV"	SC094	"Syringe, 35 ml, Monoject, Plastic"	item	2.24	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD224	"Filter, Foam Plug (10/Pk)"	item	0.36	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD225	Flutter Valve for Tee-Connector	item	1.26	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD234	"QuinGas-3, 150 H2, 75 CH4, 6% CO2, BreathTracker SC Calibration Gas"	cc	1.218	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD236	"Single Patient Discard Bag, 400 ml"	item	1.2	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD237	Sivrite-4	g	0.086	7.5		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD241	"Substrate, D-Xylose, 25 gm Packet"	item	10.76	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD242	"Tee-Connector, Plastic"	item	1.4	1		000		CPT14	May 22
91065	RUC	"Accessory, Procedure"	SD244	Water Barriers/Dust Traps (5/Pk)	item	4.94	1		000		CPT14	May 22
91065	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		000		CPT14	May 22
91065	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		CPT14	May 22
91065	RUC	Lab	SL048	desiccant-absorber	item	0.158	1		000		CPT14	May 22
91065	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.035	1		000		CPT14	May 22
91110	RUC	"Kit, Pack, Tray"	SA005	"kit, capsule endoscopy w-application supplies (M2A)"	kit	450	1		XXX			
91110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
91111	RUC	"Kit, Pack, Tray"	SA094	"kit, capsule, ESO,  endoscopy w-application supplies (ESO)"	kit	450	1		XXX		CPT07	
91112	RUC	"Accessory, Procedure"	SD272	SmartPill capsule	item	600	1				CPT13	May 29
91120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
91120	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	1		000			
91120	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
91120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000			
91120	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000			
91120	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
91120	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
91120	RUC	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	237.5	1		000			
91120	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	5		000			
91120	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000			
91120	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000			
91120	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
91122	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Mar03	16
91122	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		Mar03	16
91122	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000		Mar03	16
91122	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		Mar03	16
91122	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		Mar03	16
91122	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		Mar03	16
91122	RUC	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	7.65	1		000		Mar03	16
91122	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000		Mar03	16
91122	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000		Mar03	16
91122	RUC	"Accessory, Procedure"	SD203	"sensor, manometry"	item	25	1		000		Mar03	16
91122	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		000		Mar03	16
91122	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		Mar03	16
91122	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	2		000		Mar03	16
91122	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000		Mar03	16
91122	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000		Mar03	16
91122	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		000		Mar03	16
91132	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Feb10	24
91132	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	11		XXX		Feb10	24
91132	RUC	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.75	1		XXX		Feb10	24
91132	RUC	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	20	1		XXX		Feb10	24
91132	RUC	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.917	1		XXX		Feb10	24
91132	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		Feb10	24
91132	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		Feb10	24
91132	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Feb10	24
91132	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX		Feb10	24
91133	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Feb10	24
91133	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		XXX		Feb10	24
91133	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	11		XXX		Feb10	24
91133	RUC	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.75	1		XXX		Feb10	24
91133	RUC	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	20	1		XXX		Feb10	24
91133	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		XXX		Feb10	24
91133	RUC	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.917	1		XXX		Feb10	24
91133	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		Feb10	24
91133	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		Feb10	24
91133	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Feb10	24
91133	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX		Feb10	24
91133	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		XXX		Feb10	24
91133	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	4		XXX		Feb10	24
91133	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX		Feb10	24
91200	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76700	May 2014	May 30
91200	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76700	May 2014	May 30
91200	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	76700	May 2014	May 30
91200	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76700	May 2014	May 30
91200	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	76700	May 2014	May 30
92002	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok		
92002	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92002	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92004	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok		
92004	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92004	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92012	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok		
92012	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92012	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92014	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok		
92014	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92014	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92020	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
92020	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	2		XXX			
92065	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.328	1		XXX			
92065	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
92072	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		CPT12	May 27
92081	RUC	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.442	1		XXX		CPT13	May 52
92082	RUC	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.442	1		XXX		CPT13	May 52
92083	RUC	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.442	1		XXX		CPT13	May 52
92100	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	4		XXX			
92136	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
92136	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.58	15		XXX			
92136	RUC	"Office Supply, Grocery"	SK029	"film, instant (Polaroid) (per exposure)"	item	1.825	2		XXX			
92140	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
92225	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok	Apr06	J
92226	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok	Apr06	J
92227	RUC	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.656	1		XXX		CPT11	22
92228	RUC	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.656	1		XXX		CPT11	22
92230	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok	Sep04	
92230	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Sep04	
92230	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Sep04	
92230	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX	Sep04	Sep04	
92230	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	Sep04	Sep04	
92230	RUC	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	5.442	1		XXX	Sep04	Sep04	
92230	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Sep04	
92235	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT13	Mar 12
92235	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		CPT13	Mar 12
92235	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	1		XXX		CPT13	Mar 12
92235	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		CPT13	Mar 12
92235	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		CPT13	Mar 12
92235	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT13	Mar 12
92235	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	Mar 12
92235	RUC	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	5.442	1		XXX		CPT13	Mar 12
92235	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		CPT13	Mar 12
92235	RUC	"Office Supply, Grocery"	SK030	"film, Tri-x 35mm BW (per exposure)"	item	0.19	24		XXX		CPT13	Mar 12
92235	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		XXX		CPT13	Mar 12
92235	RUC	"Office Supply, Grocery"	SK065	photographic stop bath	oz	0.01	8		XXX		CPT13	Mar 12
92240	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok		
92240	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX			
92240	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	1		XXX			
92240	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX			
92240	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX			
92240	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92240	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX			
92240	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX			
92240	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		XXX			
92240	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX			
92240	RUC	Lab	SL083	indocyanine green (25ml uou)	item	76.875	1		XXX			
92250	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	ok		
92250	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92250	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX			
92250	RUC	"Office Supply, Grocery"	SK026	"film, Ektachrome 35mm (per exposure)"	item	0.285	36		XXX			
92250	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.192	1		XXX			
92260	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Apr06	J
92260	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		XXX			
92265	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92265	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		Sep04	
92265	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		Sep04	
92265	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Sep04	
92265	RUC	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.03	1		XXX		Sep04	
92265	RUC	Lab	SL187	"balance salt solution (BSS), sterile, 15cc"	ml		15		XXX		Sep04	
92270	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
92270	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX			
92270	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92270	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	0.1		XXX			
92270	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92275	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX			
92275	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX			
92275	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92275	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	0.1		XXX			
92275	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92283	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92283	RUC	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.442	1		XXX			
92283	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX			
92285	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	4		XXX		CPT11	72
92287	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92287	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX	90780	Sep04	
92287	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Sep04	
92287	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX	Sep04	Sep04	
92287	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX	Sep04	Sep04	
92287	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		Sep04	
92287	RUC	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	5.442	1		XXX	Sep04	Sep04	
92287	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		Sep04	
92287	RUC	"Office Supply, Grocery"	SK030	"film, Tri-x 35mm BW (per exposure)"	item	0.19	24		XXX		Sep04	
92287	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	2		XXX		Sep04	
92287	RUC	"Office Supply, Grocery"	SK065	photographic stop bath	oz	0.01	16		XXX		Sep04	
92310	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92310	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92310	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92311	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92311	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92311	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92312	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92312	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92312	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92313	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92313	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92313	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92313	RUC	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.42	1		XXX		PFS07	
92314	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92314	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92314	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92315	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92315	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92315	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92316	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92316	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92316	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92317	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Sep04	
92317	RUC	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1		XXX		Sep04	
92317	RUC	"Pharmacy, NonRx"	SJ073	DMV remover	item	1.99	1		XXX		Sep04	
92325	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Jan04	13
92325	RUC	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	7.95	1		XXX		Jan04	13
92325	RUC	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.1583	1		XXX		Jan04	13
92325	RUC	"Pharmacy, NonRx"	SJ067	contact lens (RGP) polishing soln (Silo2 Care)	ml	0.077	15		XXX		Jan04	13
92326	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.185	1		XXX		Jan04	13
92326	RUC	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	7.95	1		XXX		Jan04	13
92326	RUC	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.1583	1		XXX		Jan04	13
92340	RUC	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1		XXX		Sep04	
92341	RUC	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1		XXX		Sep04	
92342	RUC	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1		XXX		Sep04	
92352	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
92352	RUC	"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1		XXX			
92352	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92352	RUC	"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1		XXX			
92352	RUC	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	0.391	0.1		XXX			
92352	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.596	0.1		XXX			
92352	RUC	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.656	0.1		XXX			
92352	RUC	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1		XXX			
92352	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92352	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92352	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX			
92352	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX			
92353	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
92353	RUC	"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1		XXX			
92353	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92353	RUC	"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1		XXX			
92353	RUC	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	0.391	0.1		XXX			
92353	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.596	0.1		XXX			
92353	RUC	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.656	0.1		XXX			
92353	RUC	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1		XXX			
92353	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX			
92353	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92353	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX			
92353	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX			
92370	RUC	"Pharmacy, NonRx"	SJ076	nose pads	item	0.79	1		XXX		Sep04	
92370	RUC	"Pharmacy, NonRx"	SJ077	"screws, spectacles"	item	0.14	1		XXX		Sep04	
92370	RUC	"Pharmacy, NonRx"	SJ078	temple tips	pair	1	1		XXX		Sep04	
92504	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
92504	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX			
92504	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		XXX			
92504	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		XXX			
92504	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92504	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	2		XXX			
92504	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX			
92504	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09	1		XXX			
92504	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX			
92504	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92507	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92507	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX			
92507	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		XXX			
92507	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX			
92507	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	2		XXX			
92507	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92507	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	2		XXX			
92508	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92508	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX			
92508	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		XXX			
92508	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX			
92508	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	2		XXX			
92508	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92508	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	2		XXX			
92511	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
92511	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
92511	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000			
92511	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	4		000			
92511	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
92511	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	2		000			
92511	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000			
92511	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000			
92511	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		000			
92511	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
92511	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		000			
92511	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	2		000			
92511	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.773	3		000			
92511	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		000			
92511	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	2		000			
92511	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		000			
92511	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
92511	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.939	1		000			
92511	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		000			
92511	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
92511	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	1		000			
92511	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.56	1		000			
92511	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
92512	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.583	2		XXX		Mar04	K
92512	RUC	"Accessory, Procedure"	SD183	"nasal tip, olive"	item	0.34	1		XXX		Mar04	K
92512	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX		Mar04	K
92516	RUC	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.03	2		XXX		Mar04	K
92516	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.312	1		XXX		Mar04	K
92516	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	1		XXX		Mar04	K
92516	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Mar04	K
92516	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	4		XXX		Mar04	K
92516	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	2		XXX		Mar04	K
92516	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	0.5		XXX		Mar04	K
92516	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		Mar04	K
92520	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
92520	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		RUC05	
92520	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.583	1		XXX		RUC05	
92520	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		RUC05	
92520	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
92520	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	8		XXX		RUC05	
92520	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	30		XXX		RUC05	
92521	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 52
92521	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		CPT14	May 52
92521	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX		CPT14	May 52
92521	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT14	May 52
92521	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT14	May 52
92521	RUC	"Office Supply, Grocery"	SK116	"fluency assessment form, average"	item	1.34	2		XXX		CPT14	May 52
92522	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 52
92522	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		CPT14	May 52
92522	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX		CPT14	May 52
92522	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		XXX		CPT14	May 52
92522	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT14	May 52
92522	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT14	May 52
92522	RUC	"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.35	2		XXX		CPT14	May 52
92523	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 52
92523	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		CPT14	May 52
92523	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX		CPT14	May 52
92523	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		XXX		CPT14	May 52
92523	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT14	May 52
92523	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT14	May 52
92523	RUC	"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.35	2		XXX		CPT14	May 52
92523	RUC	"Office Supply, Grocery"	SK118	"language assessment form, average"	item	2.22	2		XXX		CPT14	May 52
92524	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	May 52
92524	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		CPT14	May 52
92524	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX		CPT14	May 52
92524	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT14	May 52
92526	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92526	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	3		XXX			
92526	RUC	"Pharmacy, NonRx"	SJ051	"swab, lemon-glycerine (3 pak uou)"	item	0.129	3		XXX			
92526	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
92526	RUC	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.35	3		XXX			
92526	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		XXX			
92526	RUC	"Office Supply, Grocery"	SK004	apple sauce	oz	0.052	1		XXX			
92526	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX			
92526	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	2		XXX			
92526	RUC	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.697	3		XXX			
92526	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	1		XXX			
92526	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	2		XXX			
92540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT10	36
92540	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT10	36
92540	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		XXX		CPT10	36
92540	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	5		XXX		CPT10	36
92540	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		XXX		CPT10	36
92540	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT10	36
92540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		CPT10	36
92540	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		CPT10	36
92540	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	1		XXX		CPT10	36
92540	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT10	36
92540	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	12		XXX		CPT10	36
92540	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		CPT10	36
92541	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	92541	May 2014	May 32
92541	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX	92541	May 2014	May 32
92541	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	92541	May 2014	May 32
92541	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX	92541	May 2014	May 32
92541	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX	92541	May 2014	May 32
92542	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	92542	May 2014	May 32
92542	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX	92542	May 2014	May 32
92542	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	92542	May 2014	May 32
92542	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX	92542	May 2014	May 32
92542	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX	92542	May 2014	May 32
92543	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX			
92543	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		XXX			
92543	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		XXX			
92543	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	1		XXX			
92543	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	1		XXX			
92543	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
92543	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
92543	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	1		XXX			
92543	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92544	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	92544	May 2014	May 32
92544	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX	92544	May 2014	May 32
92544	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	92544	May 2014	May 32
92544	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX	92544	May 2014	May 32
92544	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX	92544	May 2014	May 32
92545	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	92545	May 2014	May 32
92545	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX	92545	May 2014	May 32
92545	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	92545	May 2014	May 32
92545	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX	92545	May 2014	May 32
92545	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX	92545	May 2014	May 32
92546	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92546	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX			
92546	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		XXX			
92546	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92546	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX			
92546	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX			
92546	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	1		XXX			
92546	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
92546	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX			
92546	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92547	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	2		ZZZ		Mar04	K
92547	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		ZZZ		Mar04	K
92547	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	2		ZZZ		Mar04	K
92547	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	2		ZZZ		Mar04	K
92547	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	1		ZZZ		Mar04	K
92547	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		ZZZ		Mar04	K
92547	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		ZZZ		Mar04	K
92548	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX		Mar04	K
92550	RUC	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	0.953	1		XXX		CPT10	36
92550	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT10	36
92550	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		CPT10	36
92550	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		CPT10	36
92551	RUC	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.423	2		XXX		Feb05	
92551	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Feb05	
92552	RUC	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.423	2		XXX			
92552	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92552	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92553	RUC	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.423	2		XXX			
92553	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92553	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92555	RUC	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.423	2		XXX			
92555	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92555	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92556	RUC	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.423	2		XXX			
92556	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92556	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92557	RUC	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.423	2		XXX			
92557	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92557	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92561	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
92561	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
92561	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92562	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
92562	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92563	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
92563	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92564	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
92564	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92565	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92567	RUC	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	0.953	2		XXX			
92567	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
92567	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
92567	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
92568	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
92570	RUC	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	0.953	1		XXX		CPT10	36
92570	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT10	36
92570	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX		CPT10	36
92570	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		CPT10	36
92571	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92572	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92575	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92575	RUC	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	2.82	2		XXX		Mar04	K
92576	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92577	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92579	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.43	2		XXX		Mar04	K
92579	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92579	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar04	K
92582	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.43	2		XXX		Mar04	K
92582	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92582	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar04	K
92583	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.43	2		XXX		Mar04	K
92583	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92583	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar04	K
92584	RUC	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.423	2		XXX		Mar04	K
92584	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	3		XXX		Mar04	K
92584	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		Mar04	K
92584	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Mar04	K
92584	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	2		XXX		Mar04	K
92584	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	2		XXX		Mar04	K
92584	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	1.5		XXX		Mar04	K
92584	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		Mar04	K
92584	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		Mar04	K
92585	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.43	2		XXX		Mar04	K
92585	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	4		XXX		Mar04	K
92585	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	3		XXX		Mar04	K
92585	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Mar04	K
92585	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	2		XXX		Mar04	K
92585	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	2		XXX		Mar04	K
92585	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		Mar04	K
92585	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		Mar04	K
92585	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar04	K
92586	RUC	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.43	2		XXX		Mar04	K
92586	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	0.883	3		XXX		Mar04	K
92586	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	3		XXX		Mar04	K
92586	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	5		XXX		Mar04	K
92586	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	2		XXX		Mar04	K
92586	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	2		XXX		Mar04	K
92586	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		Mar04	K
92586	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		Mar04	K
92586	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar04	K
92587	RUC	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.165	1		XXX		CPT12	May 43
92587	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT12	May 43
92587	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		CPT12	May 43
92587	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		CPT12	May 43
92588	RUC	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.165	1		XXX		CPT12	May 43
92588	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT12	May 43
92588	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		CPT12	May 43
92588	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		CPT12	May 43
92596	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		Mar04	K
92597	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT10	55
92597	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT10	55
92597	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		XXX		CPT10	55
92597	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	1		XXX		CPT10	55
92597	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		XXX		CPT10	55
92597	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX			
92597	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		XXX			
92601	RUC	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1		XXX			
92601	RUC	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.165	1		XXX			
92601	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX			
92601	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX			
92601	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92601	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
92601	RUC	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.048	105		XXX			
92602	RUC	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1		XXX			
92602	RUC	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.165	1		XXX			
92602	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX			
92602	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX			
92602	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92602	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
92602	RUC	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.048	105		XXX			
92603	RUC	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.165	1		XXX			
92603	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX			
92603	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX			
92603	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92603	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
92603	RUC	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.048	105		XXX			
92604	RUC	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.165	1		XXX			
92604	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX			
92604	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX			
92604	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
92604	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
92604	RUC	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.048	105		XXX			
92605	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT12	May 44
92605	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX		CPT12	May 44
92605	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		CPT12	May 44
92605	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	1		XXX		CPT12	May 44
92605	RUC	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.035	10		XXX		CPT12	May 44
92605	RUC	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.372	3		XXX		CPT12	May 44
92606	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92606	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX			
92606	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
92606	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	1		XXX			
92606	RUC	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.035	10		XXX			
92606	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
92606	RUC	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	6.12	1		XXX			
92606	RUC	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.372	3		XXX			
92607	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92607	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX			
92607	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
92607	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	1		XXX			
92607	RUC	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.035	10		XXX			
92607	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
92607	RUC	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	6.12	1		XXX			
92607	RUC	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.372	3		XXX			
92608	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.33		XXX			
92608	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3.3		XXX			
92608	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	0.33		XXX			
92608	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	0.33		XXX			
92608	RUC	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.035	3.3		XXX			
92608	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	0.33		XXX			
92608	RUC	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	6.12	0.33		XXX			
92608	RUC	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.372	1		XXX			
92609	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92609	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	10		XXX			
92609	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
92609	RUC	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.666	1		XXX			
92609	RUC	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.035	10		XXX			
92609	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
92609	RUC	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	6.12	1		XXX			
92609	RUC	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.372	3		XXX			
92610	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT10	55
92610	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT10	55
92610	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		XXX		CPT10	55
92610	RUC	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.217	8		XXX		CPT10	55
92610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		CPT10	55
92610	RUC	"Pharmacy, NonRx"	SJ044	pre-thickened juice (4oz uou)	item	0.831	2		XXX		CPT10	55
92610	RUC	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.35	3		XXX		CPT10	55
92610	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	2		XXX		CPT10	55
92610	RUC	"Office Supply, Grocery"	SK017	cookie (each)	item	0.06	1		XXX		CPT10	55
92610	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6		XXX		CPT10	55
92610	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	2		XXX		CPT10	55
92611	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92611	RUC	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.217	8		XXX			
92611	RUC	"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.021	240		XXX			
92611	RUC	"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.217	8		XXX			
92611	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
92611	RUC	"Office Supply, Grocery"	SK017	cookie (each)	item	0.06	1		XXX			
92611	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	1		XXX			
92611	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	2		XXX			
92612	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92612	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
92612	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		XXX			
92612	RUC	"Accessory, Procedure"	SD070	endosheath	item	9.5	1		XXX			
92612	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		XXX			
92612	RUC	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.759	1		XXX			
92612	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		XXX			
92612	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
92612	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	3		XXX			
92612	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		XXX			
92612	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.647	5		XXX			
92612	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX			
92612	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		XXX			
92612	RUC	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.35	3		XXX			
92612	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
92612	RUC	"Office Supply, Grocery"	SK004	apple sauce	oz	0.052	3		XXX			
92612	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6		XXX			
92612	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	3		XXX			
92612	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	3		XXX			
92612	RUC	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.697	1		XXX			
92612	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	21		XXX			
92612	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	2		XXX			
92612	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		XXX			
92614	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92614	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
92614	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		XXX			
92614	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		XXX			
92614	RUC	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.759	1		XXX			
92614	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		XXX			
92614	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	3		XXX			
92614	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX			
92614	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		XXX			
92614	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
92614	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	3		XXX			
92614	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		XXX			
92616	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
92616	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
92616	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		XXX			
92616	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		XXX			
92616	RUC	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.759	1		XXX			
92616	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		XXX			
92616	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	3		XXX			
92616	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX			
92616	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.83	1		XXX			
92616	RUC	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.35	3		XXX			
92616	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
92616	RUC	"Office Supply, Grocery"	SK004	apple sauce	oz	0.052	3		XXX			
92616	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6		XXX			
92616	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	3		XXX			
92616	RUC	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1	3		XXX			
92616	RUC	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.697	1		XXX			
92616	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	21		XXX			
92616	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	2		XXX			
92616	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		XXX			
92620	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	4		XXX			
92621	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	2		XXX			
92625	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	3		ZZZ			
92626	RUC	"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	1		XXX		CPT06	
92626	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	4		XXX		CPT06	
92627	RUC	"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	1		ZZZ		CPT06	
92627	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	4		ZZZ		CPT06	
92640	RUC	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.088	1		XXX		CPT07	
92640	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.1		XXX		OCT08	5y
92640	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	0.25		XXX		CPT07	
92950	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		Mar03	12
92950	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000		Mar03	12
92950	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		Mar03	12
92950	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	3		000		Mar03	12
92950	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		000		Mar03	12
92950	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	375		000		Mar03	12
92950	RUC	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.75	1		000		Mar03	12
92950	RUC	"Accessory, Procedure"	SD182	"mask, CPR (RespAide)"	item	16.95	1		000		Mar03	12
92950	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		Mar03	12
92950	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	8		000		Mar03	12
92950	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	10		000		Mar03	12
92950	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.33		000		Mar03	12
92950	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000		Mar03	12
92960	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
92960	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
92960	RUC	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.75	1		000			
92960	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		000			
92977	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	90780		
92977	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	90780		
92977	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	90780		
92977	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX	90780		
92977	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	90780		
92977	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX	90780		
92977	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	90780		
92977	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		XXX	90780		
92977	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX	90780		
92977	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX	90780		
92977	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX	90780		
92977	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	90780		
92977	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX	90780		
92986	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
92987	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
92990	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
93000	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX		CPT14	Nov 4
93000	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT14	Nov 4
93000	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX		CPT14	Nov 4
93005	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX		CPT14	Nov 4
93005	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT14	Nov 4
93005	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX		CPT14	Nov 4
93015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 53
93015	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX		CPT13	May 53
93015	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 53
93015	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	15		XXX		CPT13	May 53
93015	RUC	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.398	1		XXX		CPT13	May 53
93017	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX			
93017	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
93017	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
93017	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	15		XXX			
93017	RUC	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.398	1		XXX			
93024	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX			
93024	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93024	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
93024	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
93024	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
93024	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
93024	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
93024	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX			
93024	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX			
93024	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX			
93024	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
93024	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
93025	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
93025	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
93025	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
93025	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	7		XXX			
93025	RUC	"Accessory, Procedure"	SD115	"sensor, microvolt (Micro-V)"	item	12	7		XXX			
93025	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX			
93025	RUC	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.097	1		XXX			
93025	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	10		XXX			
93025	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
93025	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		XXX			
93040	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	5		XXX			
93040	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
93040	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX			
93041	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	5		XXX			
93041	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
93041	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX			
93224	RUC	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.449	1		XXX		Mar04	L
93224	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	20		XXX		Mar04	L
93225	RUC	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.449	1		XXX		Mar04	L
93226	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		Mar04	L
93227	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		Mar04	L
93229	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	42		XXX		CPT11	
93229	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT11	
93229	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	14		XXX		CPT11	
93260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93282	May 2014	May 7
93260	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX	93282	May 2014	May 7
93260	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX	93282	May 2014	May 7
93260	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX	93282	May 2014	May 7
93260	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	15		XXX	93282	May 2014	May 7
93261	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93289	May 2014	May 7
93261		"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX	93289	May 2014	May 7
93261		"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX	93289	May 2014	May 7
93261	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX	93289	May 2014	May 7
93261	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	15		XXX	93289	May 2014	May 7
93268	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT11	
93268	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	60		XXX		CPT11	
93268	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	12		XXX		CPT11	
93268	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT11	
93268	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX		CPT11	
93271	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	88171	Apr05	
93271	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	60		XXX		Apr05	
93271	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	12		XXX		Apr05	
93271	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Apr05	
93271	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	6		XXX		Apr05	
93278	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX		Mar04	L
93278	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Mar04	L
93278	RUC	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.398	1		XXX		Mar04	L
93279	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93279	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93279	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93279	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93279	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93280	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93280	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93280	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93280	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	15		XXX		CPT09	25
93281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93281	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93281	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93281	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93281	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	15		XXX		CPT09	25
93282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93282	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93282	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93282	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93282	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	15		XXX		CPT09	25
93283	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93283	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93283	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93283	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93283	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	20		XXX		CPT09	25
93284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93284	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93284	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93284	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93284	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	20		XXX		CPT09	25
93285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93285	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93285	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93285	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93285	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	20		XXX		CPT09	25
93286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93286	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT09	25
93286	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	5		XXX		CPT09	25
93286	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	5		XXX		CPT09	25
93286	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93286	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93287	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT09	25
93287	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	5		XXX		CPT09	25
93287	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	5		XXX		CPT09	25
93287	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93287	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93288	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93288	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93288	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93288	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93289	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93289	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93289	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93289	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93289	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	15		XXX		CPT09	25
93290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93290	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93290	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93290	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93290	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93291	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93291	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93291	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93291	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	15		XXX		CPT09	25
93292	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	25
93292	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		XXX		CPT09	25
93292	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	4		XXX		CPT09	25
93292	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT09	25
93292	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93293	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93296	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	10		XXX		CPT09	25
93303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93303	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93303	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
93303	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX			
93303	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
93303	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.034		XXX			
93303	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX			
93304	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93304	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93304	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
93304	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX			
93304	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
93304	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.034		XXX			
93304	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX			
93306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	26
93306	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT09	26
93306	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX		CPT09	26
93306	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX		CPT09	26
93306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX		CPT09	26
93307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT10	56
93307	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT10	56
93307	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX		CPT10	56
93307	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX		CPT10	56
93307	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX		CPT10	56
93308	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93308	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93308	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
93308	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX			
93308	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.034		XXX			
93308	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX			
93312		"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX	93312	May 2014	May 33
93312	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93312	May 2014	May 33
93312	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX	93312	May 2014	May 33
93312		"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		XXX	93312	May 2014	May 33
93312	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	93312	May 2014	May 33
93312		"Hypodermic, IV"	SC003	arm board	item	0.598	1		XXX	93312	May 2014	May 33
93312		"Hypodermic, IV"	SC014	Interlink adaptor	item	1.725	1		XXX	93312	May 2014	May 33
93312		"Hypodermic, IV"	SC015	Interlink vial access	item	2.04	1		XXX	93312	May 2014	May 33
93312		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX	93312	May 2014	May 33
93312		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX	93312	May 2014	May 33
93312		"Accessory, Procedure"	SD006	bite block	item	1.5	1		XXX	93312	May 2014	May 33
93312		"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		XXX	93312	May 2014	May 33
93312		"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		XXX	93312	May 2014	May 33
93312		"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX	93312	May 2014	May 33
93312		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX	93312	May 2014	May 33
93312		"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX	93312	May 2014	May 33
93312		"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX	93312	May 2014	May 33
93312		"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX	93312	May 2014	May 33
93312	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	20		XXX	93312	May 2014	May 33
93312		"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX	93312	May 2014	May 33
93312	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93312	May 2014	May 33
93312	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.2		XXX	93312	May 2014	May 33
93314	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		XXX	36147	May 2014	May 33
93314	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	36147	May 2014	May 33
93314	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX	36147	May 2014	May 33
93314	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		XXX	36147	May 2014	May 33
93314	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	36147	May 2014	May 33
93314	RUC	"Hypodermic, IV"	SC003	arm board	item	0.598	1		XXX	36147	May 2014	May 33
93314	RUC	"Hypodermic, IV"	SC014	Interlink adaptor	item	1.725	1		XXX	36147	May 2014	May 33
93314	RUC	"Hypodermic, IV"	SC015	Interlink vial access	item	2.04	1		XXX	36147	May 2014	May 33
93314	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX	36147	May 2014	May 33
93314	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX	36147	May 2014	May 33
93314	RUC	"Accessory, Procedure"	SD006	bite block	item	1.5	1		XXX	36147	May 2014	May 33
93314	RUC	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.218	1		XXX	36147	May 2014	May 33
93314	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		XXX	36147	May 2014	May 33
93314	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.16	1		XXX	36147	May 2014	May 33
93314	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		XXX	36147	May 2014	May 33
93314	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX	36147	May 2014	May 33
93314	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX	36147	May 2014	May 33
93314	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX	36147	May 2014	May 33
93314	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	20		XXX	36147	May 2014	May 33
93314	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX	36147	May 2014	May 33
93314	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	36147	May 2014	May 33
93314	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.2		XXX	36147	May 2014	May 33
93350	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93350	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93350	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
93350	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	180		XXX			
93350	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
93350	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.034		XXX			
93350	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX			
93351	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT09	27
93351	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT09	27
93351	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	13		XXX		CPT09	27
93351	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT09	27
93351	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT09	27
93351	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		CPT09	27
93351	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	15		XXX		CPT09	27
93351	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT09	27
93351	RUC	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.398	1		XXX		CPT09	27
93351	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX		CPT09	27
93351	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		XXX		CPT09	27
93352	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		ZZZ		CPT09	27
93352	RUC	"Hypodermic, IV"	SC015	Interlink vial access	item	2.04	1		ZZZ		CPT09	27
93352	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		ZZZ		CPT09	27
93352	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT09	27
93352	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.226	1		ZZZ		CPT09	27
93352	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		ZZZ		CPT09	27
93352	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		ZZZ		CPT09	27
93352	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		ZZZ		CPT09	27
93352	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	1		ZZZ		CPT09	27
93352	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		ZZZ		CPT09	27
93352	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	1		ZZZ		CPT09	27
93352	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		ZZZ		CPT09	27
93352	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	1		ZZZ		CPT09	27
93451	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93451	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93451	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93451	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93451	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93451	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93451	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93451	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93451	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93451	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93451	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93451	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93451	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93451	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93451	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	65	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93451	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93451	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93451	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93451	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93451	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93451	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93451	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93451	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93451	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93451	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93451	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93451	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93451	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93451	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93451	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93451	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93451	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93451	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93451	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93452	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93452	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93452	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93452	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93452	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93452	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93452	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93452	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93452	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93452	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93452	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93452	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93452	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93452	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93452	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93452	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93452	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93452	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93452	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93452	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93452	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93452	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93452	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93452	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93452	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93452	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93452	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93452	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93452	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93452	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93452	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93452	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93452	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93452	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93453	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93453	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93453	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93453	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93453	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93453	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93453	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93453	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93453	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93453	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93453	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93453	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93453	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93453	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93453	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	2		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	65	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93453	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93453	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93453	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93453	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93453	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93453	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93453	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93453	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93453	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93453	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93453	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93453	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93453	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93453	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93453	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93453	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93453	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93453	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93453	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93454	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93454	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93454	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93454	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93454	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93454	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93454	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93454	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93454	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93454	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93454	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93454	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93454	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93454	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	2.3		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93454	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93454	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93454	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93454	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93454	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93454	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93454	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93454	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93454	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93454	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93454	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93454	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93454	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93454	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93454	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93454	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93454	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93454	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93454	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93454	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93455	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93455	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93455	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93455	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93455	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93455	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93455	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93455	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93455	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93455	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93455	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93455	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93455	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93455	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	4.3		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93455	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93455	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93455	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93455	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93455	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93455	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93455	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93455	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93455	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93455	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93455	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93455	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93455	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93455	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93455	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93455	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93455	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93455	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93455	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93455	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93456	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93456	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93456	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93456	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93456	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93456	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93456	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93456	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93456	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93456	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93456	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93456	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93456	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93456	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	2.3		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93456	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	2		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	65	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93456	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93456	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93456	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93456	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93456	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93456	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93456	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93456	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93456	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93456	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93456	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93456	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93456	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93456	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93456	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93456	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93456	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93456	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93456	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93457	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93457	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93457	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93457	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93457	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93457	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93457	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93457	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93457	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93457	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93457	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93457	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93457	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93457	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	4.3		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93457	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	2		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	65	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93457	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93457	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93457	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93457	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93457	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93457	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93457	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93457	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93457	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93457	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93457	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93457	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93457	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93457	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93457	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93457	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93457	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93457	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93457	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93458	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93458	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93458	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93458	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93458	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93458	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93458	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93458	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93458	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93458	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93458	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93458	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93458	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93458	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	3.3		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93458	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93458	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93458	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93458	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93458	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93458	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93458	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93458	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93458	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93458	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93458	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93458	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93458	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93458	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93458	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93458	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93458	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93458	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93458	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93458	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93459	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93459	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93459	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93459	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93459	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93459	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93459	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93459	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93459	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93459	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93459	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93459	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93459	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93459	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	5.3		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93459	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93459	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93459	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93459	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93459	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93459	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93459	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93459	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93459	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93459	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93459	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93459	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93459	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93459	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93459	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93459	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93459	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93459	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93459	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93459	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93460	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93460	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93460	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93460	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93460	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93460	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93460	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93460	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93460	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93460	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93460	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93460	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93460	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93460	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	3.3		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93460	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	2		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	65	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93460	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93460	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93460	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93460	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93460	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93460	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93460	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93460	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93460	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93460	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93460	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93460	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93460	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93460	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93460	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93460	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93460	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93460	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93460	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93461	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT11	40
93461	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT11	40
93461	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT11	40
93461	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT11	40
93461	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT11	40
93461	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	2		000		CPT11	40
93461	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT11	40
93461	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT11	40
93461	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	2		000		CPT11	40
93461	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT11	40
93461	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT11	40
93461	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	40
93461	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT11	40
93461	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	5.3		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	8.179	1		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		CPT11	40
93461	RUC	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	23.9	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.42	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	2		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19	2		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	65	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD180	manifold (for angiography)	item	6.682	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	2		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	9.52	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	3.17	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.95	1		000		CPT11	40
93461	RUC	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	0.949	1		000		CPT11	40
93461	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		CPT11	40
93461	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	2		000		CPT11	40
93461	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT11	40
93461	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT11	40
93461	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT11	40
93461	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		000		CPT11	40
93461	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT11	40
93461	RUC	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.087	60		000		CPT11	40
93461	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT11	40
93461	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		CPT11	40
93461	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT11	40
93461	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		000		CPT11	40
93461	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT11	40
93461	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		CPT11	40
93461	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		CPT11	40
93461	RUC	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.76	1		000		CPT11	40
93461	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT11	40
93461	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	1		000		CPT11	40
93505	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		Apr07	R
93505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Apr07	R
93505	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000		Apr07	R
93505	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		Apr07	R
93505	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.657	4		000		Apr07	R
93505	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		Apr07	R
93505	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000		Apr07	R
93505	RUC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000		Apr07	R
93505	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Apr07	R
93505	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.232	1		000		Apr07	R
93505	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		000		Apr07	R
93505	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	4		000		Apr07	R
93505	RUC	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	3.15	1		000		Apr07	R
93505	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		Apr07	R
93505	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.335	1		000		Apr07	R
93505	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	1		000		Apr07	R
93505	RUC	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.556	4		000		Apr07	R
93505	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		Apr07	R
93505	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		Apr07	R
93505	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	30		000		Apr07	R
93505	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		Apr07	R
93505	RUC	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3	1		000		Apr07	R
93505	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		000		Apr07	R
93505	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		000		Apr07	R
93505	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000		Apr07	R
93505	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	10		000		Apr07	R
93505	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		Apr07	R
93505	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		Apr07	R
93505	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000		Apr07	R
93566	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		ZZZ		CPT11	40
93566	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		ZZZ		CPT11	40
93567	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		ZZZ		CPT11	40
93567	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		ZZZ		CPT11	40
93568	RUC	"Hypodermic, IV"	SC098	"catheter, angiographic, Berman"	item		1		ZZZ		CPT11	40
93568	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		ZZZ		CPT11	40
93642	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
93642	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
93642	RUC	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.75	1		000			
93642	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		000			
93644	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000	93642	May 2014	May 7
93644	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	93642	May 2014	May 7
93644		"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.75	1		000	93642	May 2014	May 7
93644	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		000	93642	May 2014	May 7
93660	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		Mar04	L
93660	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		000		Mar04	L
93660	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		Mar04	L
93660	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		Mar04	L
93660	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000		Mar04	L
93660	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	12		000		Mar04	L
93668	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
93668	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273	1		XXX			
93668	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
93668	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
93668	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
93701	RUC	"Accessory, Procedure"	SD116	"sensors, bioimpendance (4 pack uou)"	item	9.95	1		XXX			
93701	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
93702	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	93701	May 2014	May 34
93702	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX	93701	May 2014	May 34
93702		"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		XXX	93701	May 2014	May 34
93702	Invoice		SD290	"electrode, BIS (bioimpedance spectroscopy)"		28.33	3		XXX	93701	May 2014	May 34
93702	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX	93701	May 2014	May 34
93702	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX	93701	May 2014	May 34
93702	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	1		XXX	93701	May 2014	May 34
93702	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX	93701	May 2014	May 34
93724	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		Jan04	20
93724	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	5		000		Jan04	20
93724	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.08	5		000		Jan04	20
93724	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		Jan04	20
93724	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.087	4		000		Jan04	20
93784	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	3		XXX		Mar04	O
93786	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	3		XXX		Mar04	O
93798	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		000		Jan04	20
93798	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		000		Jan04	20
93798	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		000		Jan04	20
93880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93880	May 2014	May 45
93880	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93880	May 2014	May 45
93880	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX	93880	May 2014	May 45
93880	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93880	May 2014	May 45
93880	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93880	May 2014	May 45
93880	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93880	May 2014	May 45
93882	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93882	May 2014	May 45
93882	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93882	May 2014	May 45
93882	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	25		XXX	93882	May 2014	May 45
93882	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93882	May 2014	May 45
93882	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93882	May 2014	May 45
93882	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93882	May 2014	May 45
93886	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93886	May 2014	May 45
93886	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX	93886	May 2014	May 45
93886	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93886	May 2014	May 45
93886	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	93886	May 2014	May 45
93886	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93886	May 2014	May 45
93886	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93886	May 2014	May 45
93886	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93886	May 2014	May 45
93888	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93888	May 2014	May 45
93888	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX	93888	May 2014	May 45
93888	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93888	May 2014	May 45
93888	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX	93888	May 2014	May 45
93888	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93888	May 2014	May 45
93888	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93888	May 2014	May 45
93888	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93888	May 2014	May 45
93890	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93890	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93890	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX			
93890	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX			
93890	RUC	"Accessory, Procedure"	SD170	"gas, 5% CO2 - balance air"	liter	0.13	55		XXX			
93890	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8		XXX			
93890	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
93890	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX			
93890	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
93890	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX			
93892	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93892	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93892	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
93892	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX			
93892	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
93892	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX			
93893	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93893	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93893	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX			
93893	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX			
93893	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	6		XXX			
93893	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.226	1		XXX			
93893	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
93893	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6		XXX			
93893	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX			
93893	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.08	30		XXX			
93893	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	1		XXX			
93893	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
93893	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX			
93893	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
93893	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX			
93922	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT11	41
93922	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	20		XXX		CPT11	41
93922	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX		CPT11	41
93922	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX		CPT11	41
93922	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		CPT11	41
93923	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT11	41
93923	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX		CPT11	41
93923	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX		CPT11	41
93923	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX		CPT11	41
93923	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		CPT11	41
93924	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT11	41
93924	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX		CPT11	41
93924	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX		CPT11	41
93924	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX		CPT11	41
93924	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		CPT11	41
93925	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93925	May 2014	May 45
93925	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93925	May 2014	May 45
93925	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	93925	May 2014	May 45
93925	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93925	May 2014	May 45
93925	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93925	May 2014	May 45
93925	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93925	May 2014	May 45
93926	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93926	May 2014	May 45
93926	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93926	May 2014	May 45
93926	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX	93926	May 2014	May 45
93926	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93926	May 2014	May 45
93926	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93926	May 2014	May 45
93926	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93926	May 2014	May 45
93930	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93930	May 2014	May 45
93930	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93930	May 2014	May 45
93930	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	50		XXX	93930	May 2014	May 45
93930	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93930	May 2014	May 45
93930	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93930	May 2014	May 45
93930	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93930	May 2014	May 45
93931	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93931	May 2014	May 45
93931	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93931	May 2014	May 45
93931	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX	93931	May 2014	May 45
93931	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93931	May 2014	May 45
93931	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93931	May 2014	May 45
93931	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93931	May 2014	May 45
93965	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
93965	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
93965	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX			
93965	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX			
93965	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
93965	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX			
93965	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX			
93970	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93970	May 2014	May 45
93970		"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX	93970	May 2014	May 45
93970	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93970	May 2014	May 45
93970	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	93970	May 2014	May 45
93970	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93970	May 2014	May 45
93970	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93970	May 2014	May 45
93970	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93970	May 2014	May 45
93971	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93971	May 2014	May 45
93971	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX	93971	May 2014	May 45
93971	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93971	May 2014	May 45
93971	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX	93971	May 2014	May 45
93971	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93971	May 2014	May 45
93971	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93971	May 2014	May 45
93971	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93971	May 2014	May 45
93975	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93975	May 2014	May 45
93975	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93975	May 2014	May 45
93975	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	93975	May 2014	May 45
93975	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93975	May 2014	May 45
93975	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93975	May 2014	May 45
93975	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93975	May 2014	May 45
93976	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93976	May 2014	May 45
93976	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93976	May 2014	May 45
93976	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX	93976	May 2014	May 45
93976	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93976	May 2014	May 45
93976	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93976	May 2014	May 45
93976	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93976	May 2014	May 45
93978	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93978	May 2014	May 45
93978	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93978	May 2014	May 45
93978	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	93978	May 2014	May 45
93978	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93978	May 2014	May 45
93978	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93978	May 2014	May 45
93978	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93978	May 2014	May 45
93979	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93979	May 2014	May 45
93979	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93979	May 2014	May 45
93979	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	40		XXX	93979	May 2014	May 45
93979	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93979	May 2014	May 45
93979	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93979	May 2014	May 45
93979	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93979	May 2014	May 45
93980	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX		Mar04	V
93980	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Mar04	V
93980	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar04	V
93980	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Mar04	V
93980	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Mar04	V
93980	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		Mar04	V
93980	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Mar04	V
93980	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Mar04	V
93980	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Mar04	V
93981	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX		Mar04	V
93981	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX		Mar04	V
93981	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar04	V
93981	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Mar04	V
93981	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX		Mar04	V
93981	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		Mar04	V
93981	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Mar04	V
93981	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX		Mar04	V
93981	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Mar04	V
93982	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT08	24
93982	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT08	24
93982	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX		CPT08	24
93982	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX		CPT08	24
93982	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT08	24
93990		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93990	May 2014	May 52
93990	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	93990	May 2014	May 52
93990	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX	93990	May 2014	May 52
93990		"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93990	May 2014	May 52
93990		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93990	May 2014	May 52
93990	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93990	May 2014	May 52
94010	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX			
94010	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX			
94010	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX			
94010	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX			
94014	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	Feb05	Feb05	
94014	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX		Feb05	
94014	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94014	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94014	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Feb05	
94015	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	Feb05	Feb05	
94015	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX		Feb05	
94015	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94015	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94015	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Feb05	
94060	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
94060	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX			
94060	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX			
94060	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.654	1		XXX			
94060	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX			
94060	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX			
94070	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		Mar04	G
94070	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Mar04	G
94150	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX			
94150	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX			
94150	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX			
94150	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX			
94200	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX		Feb05	
94200	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		Feb05	
94200	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94200	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94200	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Feb05	
94250	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	Feb05	Feb05	
94250	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX	Feb05	Feb05	
94250	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		Feb05	
94250	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX	Feb05	Feb05	
94250	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX	Feb05	Feb05	
94375	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX			
94375	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX			
94375	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX			
94375	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX			
94375	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX			
94375	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
94400	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Feb05	
94400	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Feb05	
94400	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94400	RUC	"Accessory, Procedure"	SD170	"gas, 5% CO2 - balance air"	liter	0.13	1		XXX		Feb05	
94400	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Feb05	
94400	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Feb05	
94450	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	12
94450	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	12
94450	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.072	1		XXX		Mar03	12
94450	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Mar03	12
94450	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Mar03	12
94450	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	3		XXX		Mar03	12
94450	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		XXX		Mar03	12
94452	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.072	225		XXX			
94452	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		XXX			
94452	RUC	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.963	1		XXX			
94453	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	150		XXX			
94453	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.072	375		XXX			
94453	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		XXX			
94453	RUC	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.963	1		XXX			
94620	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX		Feb05	
94620	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		Feb05	
94620	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94620	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX		Feb05	
94621	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX			
94621	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX			
94621	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX			
94621	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.072	150		XXX			
94621	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX			
94621	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX			
94621	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
94621	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	15		XXX			
94621	RUC	"Pharmacy, NonRx"	SJ057	thermometer (single use)	item	0.106	1		XXX			
94621	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
94621	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
94621	RUC	Lab	SL048	desiccant-absorber	item	0.158	1		XXX			
94640	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
94640	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.654	1		XXX			
94640	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
94644	RUC	"Kit, Pack, Tray"	SA098	"kit, nebulizer, w-tubing and aerosole mask (Hope)"	kit	19.64	1		XXX			
94644	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT07	
94644	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT07	
94644	RUC	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19		XXX		CPT07	
94644	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT07	
94644	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	2		XXX		CPT07	
94645	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT07	
94645	RUC	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19		XXX		CPT07	
94645	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT07	
94645	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.041	2		XXX		CPT07	
94660	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Feb05	
94660	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Feb05	
94664	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
94664	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.654	1		XXX			
94664	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
94664	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		XXX			
94667	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	May 25
94668	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	May 25
94669	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	May 25
94680	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Feb05	
94680	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Feb05	
94680	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.072	150		XXX		Feb05	
94680	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94680	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Feb05	
94680	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Feb05	
94680	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94681	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Feb05	
94681	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Feb05	
94681	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.072	150		XXX		Feb05	
94681	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94681	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		Feb05	
94681	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Feb05	
94681	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94690	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Feb05	
94690	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		XXX		Feb05	
94690	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.072	150		XXX		Feb05	
94690	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94690	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	5		XXX		Feb05	
94690	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Feb05	
94690	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		Feb05	
94690	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94726	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT12	May 29
94726	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX		CPT12	May 29
94726	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	50		XXX		CPT12	May 29
94726	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		CPT12	May 29
94726	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		CPT12	May 29
94726	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT12	May 29
94726	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT12	May 29
94727	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT12	May 29
94727	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX		CPT12	May 29
94727	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	50		XXX		CPT12	May 29
94727	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		CPT12	May 29
94727	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		CPT12	May 29
94727	RUC	"Pharmacy, Rx"	SH042	inhalant	gm	0.788	0.25		XXX		CPT12	May 29
94727	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT12	May 29
94727	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT12	May 29
94728	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT12	May 29
94728	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX		CPT12	May 29
94728	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		CPT12	May 29
94728	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.654	1		XXX		CPT12	May 29
94728	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		CPT12	May 29
94728	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT12	May 29
94728	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT12	May 29
94729	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ		CPT12	May 29
94729	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		ZZZ		CPT12	May 29
94729	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		ZZZ		CPT12	May 29
94729	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		ZZZ		CPT12	May 29
94729	RUC	"Pharmacy, Rx"	SH042	inhalant	gm	0.788	25		ZZZ		CPT12	May 29
94729	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		ZZZ		CPT12	May 29
94729	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		ZZZ		CPT12	May 29
94750	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		Feb05	
94750	RUC	"Accessory, Procedure"	SD016	"catheter, balloon, esophageal (pressure monitoring)"	item	34.25	1		XXX		Feb05	
94750	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.44	1		XXX		Feb05	
94750	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	150		XXX		Feb05	
94750	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		Feb05	
94750	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.718	1		XXX		Feb05	
94750	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		Feb05	
94750	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Feb05	
94760	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX		CPT10	58
94760	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT10	58
94761	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX		CPT10	58
94761	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT10	58
94762	CMS	"Accessory, Procedure"	SD278	Disposable oximeter cable	item	11.08	1		XXX		CPT13	
94762	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX		CPT10	58
94762	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT10	58
94762	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT10	58
94762	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	6		XXX		CPT13	
94780	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	1		XXX		CPT12	May 30
94780	RUC	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.5	1		XXX		CPT12	May 30
95004	RUC	"Hypodermic, IV"	SC023	multi-tine device	item	0.233	0.125		XXX		CPT08	rv
95004	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	0.025		XXX		CPT08	rv
95004	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.08	1		XXX		CPT08	rv
95004	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	1		XXX		CPT08	rv
95004	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	0.125		XXX		CPT08	rv
95004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	0.05		XXX		CPT08	rv
95004	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	1		XXX		CPT08	rv
95012	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT07	
95012	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT07	
95012	RUC	Infection Control	SM028	"filter, mouthpiece (NIOX)"	item	4.6	1		XXX		CPT07	
95017	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.222		XXX		CPT13	May 33
95017	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	0.037		XXX		CPT13	May 33
95017	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.259		XXX		CPT13	May 33
95017	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1.222		XXX		CPT13	May 33
95017	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	0.926		XXX		CPT13	May 33
95017	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	0.296		XXX		CPT13	May 33
95017	RUC	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.73	0.259		XXX		CPT13	May 33
95017	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.08	1.296		XXX		CPT13	May 33
95017	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	0.074		XXX		CPT13	May 33
95017	RUC	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	5.08	0.002		XXX		CPT13	May 33
95017	RUC	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	17.28	0.002		XXX		CPT13	May 33
95017	RUC	"Pharmacy, Rx"	SH104	"kit, antigen, venom (5 insects)"	ml	33.68	0.037		XXX		CPT13	May 33
95017	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1.37		XXX		CPT13	May 33
95017	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	0.741		XXX		CPT13	May 33
95017	RUC	Lab	SL198	"label, vial"	item	0.0027	0.741		XXX		CPT13	May 33
95018	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.333		XXX		CPT13	May 33
95018	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	0.111		XXX		CPT13	May 33
95018	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.778		XXX		CPT13	May 33
95018	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.37	0.111		XXX		CPT13	May 33
95018	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	0.556		XXX		CPT13	May 33
95018	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	0.556		XXX		CPT13	May 33
95018	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	0.111		XXX		CPT13	May 33
95018	RUC	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.73	0.444		XXX		CPT13	May 33
95018	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	0.111		XXX		CPT13	May 33
95018	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.427	0.111		XXX		CPT13	May 33
95018	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	0.111		XXX		CPT13	May 33
95018	RUC	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	5.08	0.006		XXX		CPT13	May 33
95018	RUC	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	17.28	0.006		XXX		CPT13	May 33
95018	RUC	"Pharmacy, Rx"	SH103	"benzylpenicilloyl polylysine (eg, PrePen) 0.25ml uou"	each	72.45	0.111		XXX		CPT13	May 33
95018	RUC	"Pharmacy, Rx"	SH105	"negative control, allergy intradermal test"	ml	25.4	0.022		XXX		CPT13	May 33
95018	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 33
95018	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	0.333		XXX		CPT13	May 33
95018	RUC	Lab	SL198	"label, vial"	item	0.0027	0.333		XXX		CPT13	May 33
95024	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	0.063		XXX		CPT12	May 40
95024	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.125		XXX		CPT12	May 40
95024	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		XXX		CPT12	May 40
95024	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	3		XXX		CPT12	May 40
95024	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	0.125		XXX		CPT12	May 40
95024	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.08	1		XXX		CPT12	May 40
95024	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	1		XXX		CPT12	May 40
95024	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	0.063		XXX		CPT12	May 40
95024	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX		CPT12	May 40
95024	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	1		XXX		CPT12	May 40
95024	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX		CPT12	May 40
95027	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.022		XXX		CPT08	rv
95027	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	0.022		XXX		CPT08	rv
95027	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	0.17		XXX		CPT08	rv
95027	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.08	0.5		XXX		CPT08	rv
95027	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	0.33		XXX		CPT08	rv
95027	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	0.125		XXX		CPT08	rv
95027	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	0.17		XXX		CPT08	rv
95027	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	1		XXX		CPT08	rv
95027	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX		CPT08	rv
95028	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX			
95028	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	1		XXX			
95044	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.028		XXX		Jan04	23
95044	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.028		XXX		Jan04	23
95044	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	0.278		XXX		Jan04	23
95044	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	0.028		XXX		Jan04	23
95044	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344	0.028		XXX		Jan04	23
95044	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	0.028		XXX		Jan04	23
95044	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	0.83		XXX		Jan04	23
95044	RUC	"Pharmacy, Rx"	SH008	"antigen, single"	ml	5.18	0.056		XXX		Jan04	23
95044	RUC	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	55.4	0.028		XXX		Jan04	23
95044	RUC	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13	0.028		XXX		Jan04	23
95044	RUC	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	8.6	0.028		XXX		Jan04	23
95044	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	0.278		XXX		Jan04	23
95044	RUC	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.005	0.033		XXX		Jan04	23
95044	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.028		XXX		Jan04	23
95044	RUC	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1	0.028		XXX		Jan04	23
95044	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	0.028		XXX		Jan04	23
95044	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	0.000833333		XXX		Jan04	23
95044	RUC	Lab	SL001	acetone	ml	0.014	0.028		XXX		Jan04	23
95044	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83		XXX		Jan04	23
95044	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	0.278		XXX		Jan04	23
95052	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.056		XXX		Jan04	23
95052	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	0.028		XXX		Jan04	23
95052	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	0.278		XXX		Jan04	23
95052	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.166	0.028		XXX		Jan04	23
95052	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.344	0.028		XXX		Jan04	23
95052	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	0.028		XXX		Jan04	23
95052	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	0.83		XXX		Jan04	23
95052	RUC	"Pharmacy, Rx"	SH008	"antigen, single"	ml	5.18	0.056		XXX		Jan04	23
95052	RUC	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	55.4	0.028		XXX		Jan04	23
95052	RUC	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13	0.028		XXX		Jan04	23
95052	RUC	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	8.6	0.028		XXX		Jan04	23
95052	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	0.278		XXX		Jan04	23
95052	RUC	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.005	0.033		XXX		Jan04	23
95052	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.028		XXX		Jan04	23
95052	RUC	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1	0.028		XXX		Jan04	23
95052	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	0.028		XXX		Jan04	23
95052	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	0.000833333		XXX		Jan04	23
95052	RUC	Lab	SL001	acetone	ml	0.014	0.028		XXX		Jan04	23
95052	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83		XXX		Jan04	23
95052	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.338	0.278		XXX		Jan04	23
95056	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	23
95056	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Jan04	23
95056	RUC	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1	1		XXX		Jan04	23
95056	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		Jan04	23
95060	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Feb05	??
95060	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Feb05	??
95060	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Feb05	??
95060	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Feb05	??
95060	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Feb05	??
95060	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		Feb05	??
95060	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Feb05	??
95060	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Feb05	??
95060	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Feb05	??
95060	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	1		XXX		Feb05	??
95060	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Feb05	??
95065	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Feb05	??
95065	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Feb05	??
95065	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Feb05	??
95065	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Feb05	??
95065	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Feb05	??
95065	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		Feb05	??
95065	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Feb05	??
95065	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Feb05	??
95065	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		Feb05	??
95065	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	1		XXX		Feb05	??
95065	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Feb05	??
95070	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar04	G
95070	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX		Mar04	G
95070	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Mar04	G
95070	RUC	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	32		XXX		Mar04	G
95070	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.654	1		XXX		Mar04	G
95070	RUC	"Accessory, Procedure"	SD184	nebulizer medication cup	item	0.14	1		XXX		Mar04	G
95070	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		XXX		Mar04	G
95070	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Mar04	G
95070	RUC	"Pharmacy, Rx"	SH077	albuterol inhal soln (3ml vial)	item	0.436	1		XXX		Mar04	G
95070	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		Mar04	G
95070	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	8		XXX		Mar04	G
95070	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	2		XXX		Mar04	G
95071	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Feb05	S
95071	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		Feb05	S
95071	RUC	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	32		XXX		Feb05	S
95071	RUC	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.654	1		XXX		Feb05	S
95071	RUC	"Accessory, Procedure"	SD184	nebulizer medication cup	item	0.14	1		XXX		Feb05	S
95071	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	8		XXX		Feb05	S
95071	RUC	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.1	1		XXX		Feb05	S
95071	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		XXX		Feb05	S
95071	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		Feb05	S
95071	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	8		XXX		Feb05	S
95071	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	2		XXX		Feb05	S
95076	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 34
95076	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 34
95076	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.15	1		XXX		CPT13	May 34
95076	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		CPT13	May 34
95076	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX		CPT13	May 34
95076	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.026	7		XXX		CPT13	May 34
95115	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 55
95115	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 55
95115	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		CPT13	May 55
95115	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT13	May 55
95115	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT13	May 55
95117	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 55
95117	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 55
95117	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		CPT13	May 55
95117	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX		CPT13	May 55
95117	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 55
95144	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.2		000			
95144	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
95144	RUC	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	6.7	1		000			
95144	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	0.1		000			
95144	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	1		000			
95145	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
95145	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
95145	RUC	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	16.67	1		000		CPT11	
95145	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
95146	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
95146	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		000			
95146	RUC	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	16.67	2		000		CPT11	
95146	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		000			
95147	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
95147	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
95147	RUC	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	30.22	1		000		CPT11	
95147	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
95148	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
95148	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	2		000			
95148	RUC	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	16.67	1		000		CPT11	
95148	RUC	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	30.22	1		000		CPT11	
95148	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
95149	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
95149	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	3		000			
95149	RUC	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	16.67	2		000		CPT11	
95149	RUC	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	30.22	1		000		CPT11	
95149	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
95165	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.2		000			
95165	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
95165	RUC	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	6.7	1		000			
95165	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	0.1		000			
95165	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.564	1		000			
95170	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
95170	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000			
95170	RUC	"Pharmacy, Rx"	SH008	"antigen, single"	ml	5.18	1		000			
95170	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
95180	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		Mar03	5
95180	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000		Mar03	5
95180	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	10		000		Mar03	5
95180	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	4		000		Mar03	5
95180	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	2		000		Mar03	5
95180	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		000		Mar03	5
95180	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	20		000		Mar03	5
95180	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	15		000		Mar03	5
95250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Mar04	O
95250	RUC	"Kit, Pack, Tray"	SA057	"pack, shower protection for insulin pump"	pack	0.616	1		XXX		Mar04	O
95250	RUC	"Accessory, Procedure"	SD114	"sensor, glucose monitoring (interstitial)"	item	29.5	1		XXX		Mar04	O
95250	RUC	"Wound Care, Dressings"	SG036	"dressing, 4in x 4.75in (Polyskin)"	item	1.335	1		XXX		Mar04	O
95250	RUC	"Wound Care, Dressings"	SG045	"dressing, OpSite IV 3000"	item	0.603	1		XXX		Mar04	O
95250	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		Mar04	O
95250	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Mar04	O
95250	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	25		XXX		Mar04	O
95250	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	4		XXX		Mar04	O
95782	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT13	May 35
95782	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT13	May 35
95782	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT13	May 35
95782	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT13	May 35
95782	RUC	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.5	1		XXX		CPT13	May 35
95782	RUC	"Accessory, Procedure"	SD273	Pediatric cannula	item	92.4	1		XXX		CPT13	May 35
95782	RUC	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	7.95	1		XXX		CPT13	May 35
95782	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT13	May 35
95782	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	11		XXX		CPT13	May 35
95782	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	4		XXX		CPT13	May 35
95782	RUC	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.097	40		XXX		CPT13	May 35
95782	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	20		XXX		CPT13	May 35
95782	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 35
95782	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT13	May 35
95782	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT13	May 35
95782	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT13	May 35
95782	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT13	May 35
95783	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT13	May 35
95783	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT13	May 35
95783	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT13	May 35
95783	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT13	May 35
95783	RUC	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.5	1		XXX		CPT13	May 35
95783	RUC	"Accessory, Procedure"	SD273	Pediatric cannula	item	92.4	1		XXX		CPT13	May 35
95783	RUC	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	7.95	1		XXX		CPT13	May 35
95783	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT13	May 35
95783	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	11		XXX		CPT13	May 35
95783	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	4		XXX		CPT13	May 35
95783	RUC	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.097	40		XXX		CPT13	May 35
95783	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	20		XXX		CPT13	May 35
95783	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 35
95783	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT13	May 35
95783	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT13	May 35
95783	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT13	May 35
95783	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT13	May 35
95800	RUC	"Accessory, Procedure"	SD263	WatchPAT pneumo-opt slp probes	item	73.42	1		XXX		CPT11	42
95800	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT11	42
95800	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		CPT11	42
95801	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT11	42
95801	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT11	42
95801	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		CPT11	42
95803	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX		CPT11	42
95803	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		CPT11	42
95805	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT11	42
95805	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT11	42
95805	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT11	42
95805	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT11	42
95805	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT11	42
95805	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	6		XXX		CPT11	42
95805	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	4		XXX		CPT11	42
95805	RUC	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.097	24		XXX		CPT11	42
95805	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		XXX		CPT11	42
95805	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT11	42
95805	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT11	42
95805	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT11	42
95805	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT11	42
95805	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT11	42
95806	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Jan04	18
95806	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	18
95806	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT11	42
95806	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	72		XXX		Jan04	18
95806	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	5		XXX		Jan04	18
95806	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT11	42
95806	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	1		XXX		Jan04	18
95806	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		Jan04	18
95806	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX		CPT11	42
95807	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT11	42
95807	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT11	42
95807	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT11	42
95807	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT11	42
95808	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT11	42
95808	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT11	42
95808	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT11	42
95808	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT11	42
95808	RUC	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.5	1		XXX		CPT11	42
95808	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT11	42
95808	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT11	42
95808	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	6		XXX		CPT11	42
95808	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	4		XXX		CPT11	42
95808	RUC	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.097	24		XXX		CPT11	42
95808	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		XXX		CPT11	42
95808	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT11	42
95808	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX		CPT11	42
95808	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT11	42
95808	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT11	42
95808	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT11	42
95810	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT11	42
95810	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT11	42
95810	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT11	42
95810	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT11	42
95810	RUC	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.5	1		XXX		CPT11	42
95810	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT11	42
95810	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT11	42
95810	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	9		XXX		CPT11	42
95810	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	4		XXX		CPT11	42
95810	RUC	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.097	36		XXX		CPT11	42
95810	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	18		XXX		CPT11	42
95810	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT11	42
95810	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT11	42
95810	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT11	42
95810	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT11	42
95810	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT11	42
95811	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4		XXX		CPT11	42
95811	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT11	42
95811	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT11	42
95811	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT11	42
95811	RUC	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.5	1		XXX		CPT11	42
95811	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3	1		XXX		CPT11	42
95811	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX		CPT11	42
95811	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	9		XXX		CPT11	42
95811	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.072	4		XXX		CPT11	42
95811	RUC	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.097	36		XXX		CPT11	42
95811	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	18		XXX		CPT11	42
95811	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT11	42
95811	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX		CPT11	42
95811	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT11	42
95811	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX		CPT11	42
95811	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	1		XXX		CPT11	42
95812	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Feb05	
95812	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Feb05	
95812	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Feb05	
95812	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Feb05	
95812	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Feb05	
95812	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		Feb05	
95812	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	2		XXX		Feb05	
95812	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		Feb05	
95812	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		Feb05	
95812	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	42		XXX		Feb05	
95812	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Feb05	
95812	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Feb05	
95812	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX		Feb05	
95812	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Feb05	
95812	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Feb05	
95812	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Feb05	
95812	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	0.1		XXX		Feb05	
95812	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		Feb05	
95813	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Feb05	
95813	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Feb05	
95813	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Feb05	
95813	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Feb05	
95813	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Feb05	
95813	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		Feb05	
95813	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	2		XXX		Feb05	
95813	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		Feb05	
95813	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		Feb05	
95813	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	42		XXX		Feb05	
95813	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Feb05	
95813	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Feb05	
95813	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX	Feb05	Feb05	
95813	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX	Feb05	Feb05	
95813	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Feb05	
95813	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Feb05	
95813	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	0.1		XXX		Feb05	
95813	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		Feb05	
95816	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	Nov 6
95816	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Nov 6
95816	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT14	Nov 6
95816	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Nov 6
95816	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT14	Nov 6
95816	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		CPT14	Nov 6
95816	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX		CPT14	Nov 6
95816	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	2		XXX		CPT14	Nov 6
95816	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		CPT14	Nov 6
95816	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		CPT14	Nov 6
95816	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	42		XXX		CPT14	Nov 6
95816	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT14	Nov 6
95816	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT14	Nov 6
95816	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX		CPT14	Nov 6
95816	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		CPT14	Nov 6
95816	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT14	Nov 6
95816	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT14	Nov 6
95816	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	0.1		XXX		CPT14	Nov 6
95816	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT14	Nov 6
95819	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	Nov 6
95819	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Nov 6
95819	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT14	Nov 6
95819	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Nov 6
95819	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT14	Nov 6
95819	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		CPT14	Nov 6
95819	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX		CPT14	Nov 6
95819	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	2		XXX		CPT14	Nov 6
95819	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		CPT14	Nov 6
95819	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		CPT14	Nov 6
95819	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT14	Nov 6
95819	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT14	Nov 6
95819	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT14	Nov 6
95819	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX		CPT14	Nov 6
95819	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		CPT14	Nov 6
95819	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT14	Nov 6
95819	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT14	Nov 6
95819	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	0.1		XXX		CPT14	Nov 6
95819	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT14	Nov 6
95822	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	Nov 6
95822	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	Nov 6
95822	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT14	Nov 6
95822	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Nov 6
95822	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT14	Nov 6
95822	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		CPT14	Nov 6
95822	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX		CPT14	Nov 6
95822	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	2		XXX		CPT14	Nov 6
95822	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		CPT14	Nov 6
95822	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX		CPT14	Nov 6
95822	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	42		XXX		CPT14	Nov 6
95822	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT14	Nov 6
95822	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT14	Nov 6
95822	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX		CPT14	Nov 6
95822	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		CPT14	Nov 6
95822	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT14	Nov 6
95822	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT14	Nov 6
95822	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	0.1		XXX		CPT14	Nov 6
95822	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT14	Nov 6
95827	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	18
95827	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	18
95827	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Jan04	18
95827	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Jan04	18
95827	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		Jan04	18
95827	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		Jan04	18
95827	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Jan04	18
95827	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		Jan04	18
95827	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Jan04	18
95827	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		Jan04	18
95827	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		Jan04	18
95827	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Jan04	18
95827	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	18
95827	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Jan04	18
95827	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	200		XXX		Jan04	18
95827	RUC	Lab	SL001	acetone	ml	0.014	0.5		XXX		Jan04	18
95829	RUC	"Accessory, Procedure"	SD048	"electrode alligator clip, pair"	pair	10.195	1		XXX			
95829	RUC	"Accessory, Procedure"	SD058	"electrode, grid"	item	475	1		XXX			
95829	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX			
95829	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX			
95829	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	500		XXX			
95830	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
95830	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
95830	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX			
95830	RUC	"Accessory, Procedure"	SD061	"electrode, sphenoidal"	item	15.833	2		XXX			
95830	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	2		XXX			
95830	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
95830	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX			
95830	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	5		XXX			
95830	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	4		XXX			
95830	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX			
95830	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		XXX			
95830	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
95831	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
95831	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
95831	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95831	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
95832	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
95832	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95832	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
95833	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95833	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
95833	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
95833	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95833	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
95834	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95834	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
95834	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
95834	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95834	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
95851	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95851	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
95851	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
95851	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95851	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
95852	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95852	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
95852	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95852	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
95857	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX			
95857	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95857	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
95857	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
95857	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95857	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
95857	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX			
95857	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX			
95857	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX			
95857	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
95857	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX			
95857	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX			
95857	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX			
95860	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95860	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95860	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95860	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95860	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95860	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95860	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	3		XXX		CPT13	May 36
95860	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT13	May 36
95860	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 36
95860	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	6		XXX		CPT13	May 36
95860	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX		CPT13	May 36
95861	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95861	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95861	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95861	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95861	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95861	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	2		XXX		CPT13	May 36
95861	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		CPT13	May 36
95861	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		XXX		CPT13	May 36
95861	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 36
95861	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		XXX		CPT13	May 36
95861	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX		CPT13	May 36
95863	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95863	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95863	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95863	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95863	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95863	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	3		XXX		CPT13	May 36
95863	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	9		XXX		CPT13	May 36
95863	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		XXX		CPT13	May 36
95863	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 36
95863	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	18		XXX		CPT13	May 36
95863	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	7		XXX		CPT13	May 36
95864	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95864	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95864	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95864	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95864	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95864	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	4		XXX		CPT13	May 36
95864	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	12		XXX		CPT13	May 36
95864	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	8		XXX		CPT13	May 36
95864	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 36
95864	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	24		XXX		CPT13	May 36
95864	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	9		XXX		CPT13	May 36
95865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 36
95865	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95865	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95865	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95865	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		CPT13	May 36
95865	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		XXX		CPT13	May 36
95865	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		CPT13	May 36
95865	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 36
95865	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX		CPT13	May 36
95866	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 36
95866	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95866	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95866	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95866	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		CPT13	May 36
95866	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		XXX		CPT13	May 36
95866	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		CPT13	May 36
95866	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 36
95866	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX		CPT13	May 36
95867	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 36
95867	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95867	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95867	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95867	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		CPT13	May 36
95867	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		XXX		CPT13	May 36
95867	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		CPT13	May 36
95867	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 36
95867	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX		CPT13	May 36
95868	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 36
95868	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95868	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95868	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95868	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		CPT13	May 36
95868	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	8		XXX		CPT13	May 36
95868	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		CPT13	May 36
95868	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	8		XXX		CPT13	May 36
95868	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX		CPT13	May 36
95869	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 36
95869	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95869	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95869	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95869	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		CPT13	May 36
95869	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		XXX		CPT13	May 36
95869	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		CPT13	May 36
95869	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 36
95869	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX		CPT13	May 36
95870	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 36
95870	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95870	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		XXX		CPT13	May 36
95870	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95870	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		CPT13	May 36
95870	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		XXX		CPT13	May 36
95870	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		CPT13	May 36
95870	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 36
95870	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		XXX		CPT13	May 36
95872	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Jan04	18
95872	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	18
95872	RUC	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.03	1		XXX		Jan04	18
95872	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		XXX		Jan04	18
95872	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		XXX		Jan04	18
95872	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		Jan04	18
95872	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	10		XXX		Jan04	18
95872	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		Jan04	18
95872	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		XXX		Jan04	18
95873	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		ZZZ		RUC05	
95873	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		ZZZ		RUC05	
95873	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		ZZZ		RUC05	
95873	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		ZZZ		RUC05	
95873	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		ZZZ		RUC05	
95873	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		ZZZ		RUC05	
95874	RUC	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	20	1		ZZZ		RUC05	
95874	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		ZZZ		RUC05	
95874	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		ZZZ		RUC05	
95874	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		ZZZ		RUC05	
95874	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		ZZZ		RUC05	
95874	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	5		ZZZ		RUC05	
95875	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
95875	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95875	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX			
95875	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.917	1		XXX			
95875	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	7		XXX			
95875	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX			
95875	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	7		XXX			
95875	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX			
95875	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		XXX			
95875	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
95875	RUC	Lab	SL085	label for microscope slides	item	0.026	14		XXX			
95875	RUC	Lab	SL143	test tube	item	0.273	14		XXX			
95885	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		ZZZ		CPT12	May 31
95885	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		ZZZ		CPT12	May 31
95885	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	1		ZZZ		CPT12	May 31
95885	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	4		ZZZ		CPT12	May 31
95885	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		ZZZ		CPT12	May 31
95885	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		ZZZ		CPT12	May 31
95885	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		ZZZ		CPT12	May 31
95885	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		ZZZ		CPT12	May 31
95885	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		ZZZ		CPT12	May 31
95886	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		ZZZ		CPT12	May 31
95886	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		ZZZ		CPT12	May 31
95886	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	1		ZZZ		CPT12	May 31
95886	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		ZZZ		CPT12	May 31
95886	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	6		ZZZ		CPT12	May 31
95886	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		ZZZ		CPT12	May 31
95886	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		ZZZ		CPT12	May 31
95886	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	6		ZZZ		CPT12	May 31
95886	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		ZZZ		CPT12	May 31
95887	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	8.693	1		ZZZ		CPT12	May 31
95887	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		ZZZ		CPT12	May 31
95887	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	1		ZZZ		CPT12	May 31
95887	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	6		ZZZ		CPT12	May 31
95887	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4		ZZZ		CPT12	May 31
95887	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		ZZZ		CPT12	May 31
95887	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		ZZZ		CPT12	May 31
95887	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		ZZZ		CPT12	May 31
95887	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	3		ZZZ		CPT12	May 31
95905	RUC	"Accessory, Procedure"	SD223	"electrode, array, nerve, preconfigured,"	item	45	1		XXX		CPT10	22
95905	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT10	22
95907	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95907	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95907	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95907	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95907	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95907	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	4				CPT14	Final
95907	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12				CPT14	Final
95907	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX		CPT13	May 36
95907	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 36
95907	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 36
95907	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX		CPT13	May 36
95908	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95908	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95908	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95908	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95908	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95908	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	8				CPT14	Final
95908	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24				CPT14	Final
95908	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX		CPT13	May 36
95908	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	8		XXX		CPT13	May 36
95908	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 36
95908	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX		CPT13	May 36
95909	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95909	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95909	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95909	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95909	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	1		XXX		CPT13	May 36
95909	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	12				CPT14	Final
95909	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36				CPT14	Final
95909	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX		CPT13	May 36
95909	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		XXX		CPT13	May 36
95909	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 36
95909	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX		CPT13	May 36
95910	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95910	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95910	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95910	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95910	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	2		XXX		CPT13	May 36
95910	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	16				CPT14	Final
95910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	48				CPT14	Final
95910	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX		CPT13	May 36
95910	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	16		XXX		CPT13	May 36
95910	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 36
95910	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX		CPT13	May 36
95911	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95911	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95911	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95911	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95911	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	2		XXX		CPT13	May 36
95911	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	20				CPT14	Final
95911	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	60				CPT14	Final
95911	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX		CPT13	May 36
95911	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	20		XXX		CPT13	May 36
95911	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 36
95911	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		CPT13	May 36
95912	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95912	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95912	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95912	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95912	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	2		XXX		CPT13	May 36
95912	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	24				CPT14	Final
95912	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	72				CPT14	Final
95912	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX		CPT13	May 36
95912	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	24		XXX		CPT13	May 36
95912	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 36
95912	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		CPT13	May 36
95913	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 36
95913	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT13	May 36
95913	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT13	May 36
95913	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT13	May 36
95913	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.75	2		XXX		CPT13	May 36
95913	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	26				CPT14	Final
95913	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	78				CPT14	Final
95913	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX		CPT13	May 36
95913	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	26		XXX		CPT13	May 36
95913	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 36
95913	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	2		XXX		CPT13	May 36
95921	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 37
95921	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 37
95921	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	6		XXX		CPT13	May 37
95921	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		CPT13	May 37
95921	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT13	May 37
95921	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 37
95921	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT13	May 37
95921	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT13	May 37
95922	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 37
95922	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 37
95922	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	6		XXX		CPT13	May 37
95922	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		CPT13	May 37
95922	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT13	May 37
95922	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 37
95922	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT13	May 37
95922	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT13	May 37
95923	RUC	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	11.992	4		XXX		CPT13	May 37
95923	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 37
95923	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 37
95923	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		CPT13	May 37
95923	RUC	"Accessory, Procedure"	SD276	Indicator powder	item		10		XXX		CPT13	May 37
95923	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	2		XXX		CPT13	May 37
95923	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT13	May 37
95923	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 37
95923	RUC	"Pharmacy, Rx"	SH002	acetylcholine (for patient use)	gm	0.4	50		XXX		CPT13	May 37
95923	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT13	May 37
95924	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 37
95924	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 37
95924	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	6		XXX		CPT13	May 37
95924	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.217	1		XXX		CPT13	May 37
95924	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX		CPT13	May 37
95924	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT13	May 37
95924	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT13	May 37
95924	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT13	May 37
95925	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 56
95925	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 56
95925	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT13	May 56
95925	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		CPT13	May 56
95925	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		CPT13	May 56
95925	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	8		XXX		CPT13	May 56
95925	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		CPT13	May 56
95925	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	24		XXX		CPT13	May 56
95925	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT13	May 56
95925	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT13	May 56
95925	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		CPT13	May 56
95925	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT13	May 56
95925	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 56
95925	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX		CPT13	May 56
95925	RUC	Lab	SL001	acetone	ml	0.014	7		XXX		CPT13	May 56
95925	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.17		XXX		CPT13	May 56
95926	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 56
95926	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 56
95926	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT13	May 56
95926	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		CPT13	May 56
95926	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		CPT13	May 56
95926	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	8		XXX		CPT13	May 56
95926	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		CPT13	May 56
95926	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	24		XXX		CPT13	May 56
95926	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT13	May 56
95926	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT13	May 56
95926	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		CPT13	May 56
95926	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT13	May 56
95926	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 56
95926	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX		CPT13	May 56
95926	RUC	Lab	SL001	acetone	ml	0.014	7		XXX		CPT13	May 56
95926	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.17		XXX		CPT13	May 56
95927	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Mar04	H
95927	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Mar04	H
95927	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Mar04	H
95927	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Mar04	H
95927	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		Mar04	H
95927	RUC	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.917	4		XXX		Mar04	H
95927	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Mar04	H
95927	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	24		XXX		Mar04	H
95927	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Mar04	H
95927	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		Mar04	H
95927	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		Mar04	H
95927	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	H
95927	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar04	H
95927	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX		Mar04	H
95927	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		Mar04	H
95927	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX		Mar04	H
95928	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	May 49
95928	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 49
95928	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		CPT14	May 49
95928	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	12		XXX		CPT14	May 49
95928	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		CPT14	May 49
95928	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	24		XXX		CPT14	May 49
95928	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT14	May 49
95928	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		CPT14	May 49
95928	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 49
95928	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.083	1		XXX		CPT14	May 49
95928	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT14	May 49
95928	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX		CPT14	May 49
95928	RUC	Lab	SL001	acetone	ml	0.014	7		XXX		CPT14	May 49
95928	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.17		XXX		CPT14	May 49
95929	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT14	May 49
95929	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT14	May 49
95929	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		CPT14	May 49
95929	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	12		XXX		CPT14	May 49
95929	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		CPT14	May 49
95929	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	24		XXX		CPT14	May 49
95929	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		CPT14	May 49
95929	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		CPT14	May 49
95929	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT14	May 49
95929	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.083	1		XXX		CPT14	May 49
95929	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT14	May 49
95929	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX		CPT14	May 49
95929	RUC	Lab	SL001	acetone	ml	0.014	7		XXX		CPT14	May 49
95929	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.17		XXX		CPT14	May 49
95930	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Mar04	H
95930	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Mar04	H
95930	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Mar04	H
95930	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Mar04	H
95930	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		Mar04	H
95930	RUC	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.917	4		XXX		Mar04	H
95930	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Mar04	H
95930	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	24		XXX		Mar04	H
95930	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Mar04	H
95930	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		Mar04	H
95930	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		Mar04	H
95930	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	H
95930	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar04	H
95930	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	6		XXX		Mar04	H
95930	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		Mar04	H
95930	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX		Mar04	H
95933	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
95933	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95933	RUC	"Accessory, Procedure"	SD052	"electrode, bar-style (single)"	item	0.24	1		XXX			
95933	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX			
95933	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX			
95933	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		XXX			
95933	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX			
95933	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX			
95933	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		XXX			
95933	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX			
95933	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
95933	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX			
95933	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
95937	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
95937	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95937	RUC	"Accessory, Procedure"	SD052	"electrode, bar-style (single)"	item	0.24	1		XXX			
95937	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX			
95937	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		XXX			
95937	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	36		XXX			
95937	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX			
95937	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX			
95937	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	1		XXX			
95937	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	0.975	1		XXX			
95937	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
95937	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX			
95937	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	1		XXX			
95938	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 56
95938	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 56
95938	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT13	May 56
95938	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		CPT13	May 56
95938	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		CPT13	May 56
95938	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	16		XXX		CPT13	May 56
95938	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX		CPT13	May 56
95938	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	48		XXX		CPT13	May 56
95938	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT13	May 56
95938	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	2		XXX		CPT13	May 56
95938	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	20		XXX		CPT13	May 56
95938	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX		CPT13	May 56
95938	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 56
95938	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	12		XXX		CPT13	May 56
95938	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT13	May 56
95938	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX		CPT13	May 56
95939	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 56
95939	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT13	May 56
95939	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.445	1		XXX		CPT13	May 56
95939	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	24		XXX		CPT13	May 56
95939	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX		CPT13	May 56
95939	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	48		XXX		CPT13	May 56
95939	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	2		XXX		CPT13	May 56
95939	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	4		XXX		CPT13	May 56
95939	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		CPT13	May 56
95939	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.083	1		XXX		CPT13	May 56
95939	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT13	May 56
95939	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	12		XXX		CPT13	May 56
95939	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT13	May 56
95939	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX		CPT13	May 56
95950	RUC	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.449	1		XXX		CPT11	75
95950	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT11	75
95950	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT11	75
95950	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT11	75
95950	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT11	75
95950	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		CPT11	75
95950	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT11	75
95950	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	1.5		XXX		CPT11	75
95950	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT11	75
95950	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		XXX		CPT11	75
95950	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT11	75
95950	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT11	75
95950	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT11	75
95950	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		CPT11	75
95950	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		XXX		CPT11	75
95950	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT11	75
95950	RUC	"Office Supply, Grocery"	SK007	audio cassette tape 60 min	item	0.76	1		XXX		CPT11	75
95950	RUC	"Office Supply, Grocery"	SK011	"battery, AAA"	item	0.485	4		XXX		CPT11	75
95950	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT11	75
95950	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT11	75
95950	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT11	75
95953	RUC	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.449	1		XXX		CPT11	75
95953	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT11	75
95953	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT11	75
95953	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT11	75
95953	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT11	75
95953	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		CPT11	75
95953	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT11	75
95953	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	2		XXX		CPT11	75
95953	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	20		XXX		CPT11	75
95953	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		XXX		CPT11	75
95953	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		CPT11	75
95953	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT11	75
95953	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT11	75
95953	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		CPT11	75
95953	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		XXX		CPT11	75
95953	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT11	75
95953	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT11	75
95953	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT11	75
95953	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT11	75
95954	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Feb05	
95954	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Feb05	
95954	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Feb05	
95954	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		Feb05	
95954	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		Feb05	
95954	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		Feb05	
95954	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		Feb05	
95954	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	18	2		XXX		Feb05	
95954	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Feb05	
95954	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Feb05	
95954	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX	Feb05	Feb05	
95954	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.08	1		XXX		Feb05	
95954	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Feb05	
95954	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		Feb05	
95954	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	100		XXX		Feb05	
95954	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		XXX		Feb05	
95954	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Feb05	
95954	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Feb05	
95954	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		Feb05	
95954	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		Feb05	
95955	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
95955	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
95955	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
95955	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
95955	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	1		XXX			
95955	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX			
95955	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
95955	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
95955	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
95955	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX			
95955	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX			
95955	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		XXX			
95955	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
95955	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	800		XXX			
95955	RUC	Lab	SL001	acetone	ml	0.014	15		XXX			
95956	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT11	75
95956	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		CPT11	75
95956	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT11	75
95956	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		CPT11	75
95956	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		CPT11	75
95956	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		CPT11	75
95956	RUC	"Accessory, Procedure"	SD265	Imaging compatible electrodes	item	6	24		XXX		CPT11	75
95956	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		CPT11	75
95956	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		XXX		CPT11	75
95956	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX		CPT11	75
95956	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		CPT11	75
95956	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX		CPT11	75
95956	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	2		XXX		CPT11	75
95956	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	15		XXX		CPT11	75
95956	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT11	75
95956	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		CPT11	75
95956	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT11	75
95956	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		CPT11	75
95957	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Mar04	H
95957	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Mar04	H
95957	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Mar04	H
95957	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Mar04	H
95957	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Mar04	H
95957	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Mar04	H
95957	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		Mar04	H
95957	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	20		XXX		Mar04	H
95957	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Mar04	H
95957	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		Mar04	H
95957	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Mar04	H
95957	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		Mar04	H
95957	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		Mar04	H
95957	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Mar04	H
95957	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	H
95957	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar04	H
95957	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		Mar04	H
95958	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Mar04	H
95958	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Mar04	H
95958	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Mar04	H
95958	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Mar04	H
95958	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Mar04	H
95958	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Mar04	H
95958	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		Mar04	H
95958	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		Mar04	H
95958	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Mar04	H
95958	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		Mar04	H
95958	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Mar04	H
95958	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		Mar04	H
95958	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		Mar04	H
95958	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Mar04	H
95958	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar04	H
95958	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar04	H
95958	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	200		XXX		Mar04	H
95958	RUC	Lab	SL001	acetone	ml	0.014	15		XXX		Mar04	H
95961	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		Jan04	18
95961	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX		Jan04	18
95961	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		Jan04	18
95961	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		Jan04	18
95961	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.33	1		XXX		Jan04	18
95961	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.096	1		XXX		Jan04	18
95961	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	2		XXX		Jan04	18
95961	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.638	2		XXX		Jan04	18
95961	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX		Jan04	18
95961	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX		Jan04	18
95961	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.017	6		XXX		Jan04	18
95961	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.611	1		XXX		Jan04	18
95961	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	1		XXX		Jan04	18
95961	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.056	10		XXX		Jan04	18
95961	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		XXX		Jan04	18
95961	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Jan04	18
95961	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Jan04	18
95961	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	200		XXX		Jan04	18
95961	RUC	Lab	SL001	acetone	ml	0.014	0.5		XXX		Jan04	18
95970	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Mar04	H
95971	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	95971	March 2014	March 12
95974	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Mar04	H
95978	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
95981	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT08	Q
95982	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT08	Q
95990	RUC	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	28	1		XXX			
95990	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
95990	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX			
95990	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
95990	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX			
95990	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		XXX			
95990	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
95990	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
95990	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX			
95991	RUC	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	28	1		XXX			
95991	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
95991	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX			
95991	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
95991	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	2		XXX			
95991	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		XXX			
95991	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
95991	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
95991	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX			
95992	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT09	30
95992	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	1		XXX		CPT09	30
95992	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		CPT09	30
95992	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT09	30
95992	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2		XXX		CPT09	30
95992	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		CPT09	30
96040	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.33		XXX		CPT07	
96101	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX		CPT06	
96101	RUC	"Office Supply, Grocery"	SK067	"psych testing forms, average"	item	2.3	0.1		XXX		CPT06	
96101	RUC	"Office Supply, Grocery"	SK108	MCMI-III kit and manual	item		0.1		XXX		CPT06	
96102	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	8		XXX		CPT06	
96102	RUC	"Office Supply, Grocery"	SK067	"psych testing forms, average"	item	2.3	0.33		XXX		CPT06	
96102	RUC	"Office Supply, Grocery"	SK108	MCMI-III kit and manual	item		0.33		XXX		CPT06	
96103	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	3		XXX		CPT06	
96105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT11	76
96105	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.183	1		XXX		CPT11	76
96105	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		CPT11	76
96105	RUC	"Office Supply, Grocery"	SK003	"aphasia assessment forms, average"	item	2.84	1		XXX		CPT11	76
96111	RUC	"Office Supply, Grocery"	SK088	Woodcock Johnson test record	item	2.44	1		XXX			
96116	RUC	"Office Supply, Grocery"	SK003	"aphasia assessment forms, average"	item	2.84	0.25		XXX		CPT06	
96116	RUC	"Office Supply, Grocery"	SK007	audio cassette tape 60 min	item	0.76	0.25		XXX		CPT06	
96116	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	5.77	0.25		XXX		CPT06	
96116	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	0.25		XXX		CPT06	
96118	RUC	"Office Supply, Grocery"	SK003	"aphasia assessment forms, average"	item	2.84	1		XXX		CPT06	
96118	RUC	"Office Supply, Grocery"	SK007	audio cassette tape 60 min	item	0.76	1		XXX		CPT06	
96118	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	5.77	1		XXX		CPT06	
96118	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	1		XXX		CPT06	
96119	RUC	"Office Supply, Grocery"	SK003	"aphasia assessment forms, average"	item	2.84	0.3		XXX		CPT06	
96119	RUC	"Office Supply, Grocery"	SK007	audio cassette tape 60 min	item	0.76	0.3		XXX		CPT06	
96119	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	5.77	0.3		XXX		CPT06	
96119	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	0.3		XXX		CPT06	
96120	RUC	"Office Supply, Grocery"	SK007	audio cassette tape 60 min	item	0.76	0.3		XXX		CPT06	
96120	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	0.3		XXX		CPT06	
96125	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	5.77	2		XXX		CPT08	hp
96127	Invoice		SK119	"Beck Youth Inventory, Second Edition (BYI-II); Combination Inventory Booklet"	booklet	1.96	1		XXX	96110	May 2014	May 36
96150	RUC	"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1		XXX			
96150	RUC	"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1		XXX			
96150	RUC	"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.065	1		XXX			
96151	RUC	"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1		XXX			
96151	RUC	"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1		XXX			
96151	RUC	"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.065	1		XXX			
96152	RUC	"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1		XXX			
96152	RUC	"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1		XXX			
96152	RUC	"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.065	1		XXX			
96153	RUC	"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.065	1		XXX			
96154	RUC	"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1		XXX			
96154	RUC	"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1		XXX			
96154	RUC	"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.065	1		XXX			
96155	RUC	"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.065	1		XXX			
96360	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	90760	CPT09	rn
96360	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	90760	CPT09	rn
96360	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	90760	CPT09	rn
96360	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX	90760	CPT09	rn
96360	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX	90760	CPT09	rn
96360	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX	90760	CPT09	rn
96360	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX	90760	CPT09	rn
96360	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		XXX	90760	CPT09	rn
96360	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	90760	CPT09	rn
96360	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX	90760	CPT09	rn
96360	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX	90760	CPT09	rn
96365	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		CPT14	Mar 10
96365	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	Mar 10
96365	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		CPT14	Mar 10
96365	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT14	Mar 10
96365	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		CPT14	Mar 10
96365	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		XXX		CPT14	Mar 10
96365	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT14	Mar 10
96365	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		XXX		CPT14	Mar 10
96365	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT14	Mar 10
96367	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	Mar 10
96367	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		CPT14	Mar 10
96367	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT14	Mar 10
96367	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		CPT14	Mar 10
96368	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		CPT14	Mar 10
96368	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		CPT14	Mar 10
96369	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	90769	CPT09	rn
96369	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	2		XXX	90769	CPT09	rn
96369	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		XXX	90769	CPT09	rn
96369	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX	90769	CPT09	rn
96369	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		XXX	90769	CPT09	rn
96369	RUC	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	5.75	1		XXX	90769	CPT09	rn
96369	RUC	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	11.5	4		XXX	90769	CPT09	rn
96369	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	90769	CPT09	rn
96369	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	3		XXX	90769	CPT09	rn
96369	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX	90769	CPT09	rn
96369	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	4		XXX	90769	CPT09	rn
96369	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		XXX	90769	CPT09	rn
96369	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	2		XXX	90769	CPT09	rn
96369	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	90769	CPT09	rn
96369	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX	90769	CPT09	rn
96369	RUC	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.697	1		XXX	90769	CPT09	rn
96369	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	6		XXX	90769	CPT09	rn
96369	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	2		XXX	90769	CPT09	rn
96369	RUC	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.039	1		XXX	90769	CPT09	rn
96369	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	10		XXX	90769	CPT09	rn
96371	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ	90771	CPT09	rn
96371	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		ZZZ	90771	CPT09	rn
96371	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		ZZZ	90771	CPT09	rn
96371	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		ZZZ	90771	CPT09	rn
96371	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.454	1		ZZZ	90771	CPT09	rn
96371	RUC	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	5.75	1		ZZZ	90771	CPT09	rn
96371	RUC	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	11.5	2		ZZZ	90771	CPT09	rn
96371	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		ZZZ	90771	CPT09	rn
96371	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		ZZZ	90771	CPT09	rn
96371	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	1.741	2		ZZZ	90771	CPT09	rn
96371	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.089	1		ZZZ	90771	CPT09	rn
96371	RUC	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.45	1		ZZZ	90771	CPT09	rn
96371	RUC	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.039	1		ZZZ	90771	CPT09	rn
96371	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	10		ZZZ	90771	CPT09	rn
96372	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	90772	CPT09	rn
96372	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	90772	CPT09	rn
96372	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX	90772	CPT09	rn
96372	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX	90772	CPT09	rn
96372	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	90772	CPT09	rn
96372	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	90772	CPT09	rn
96373	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	90783	CPT09	rn
96373	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	90773	CPT09	rn
96373	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX	90783	CPT09	rn
96373	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	90783	CPT09	rn
96373	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX	90773	CPT09	rn
96373	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	90773	CPT09	rn
96374	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX	90774	CPT09	rn
96374	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	90774	CPT09	rn
96374	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX	90774	CPT09	rn
96374	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX	90774	CPT09	rn
96374	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX	90774	CPT09	rn
96374	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		XXX	90774	CPT09	rn
96374	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		XXX	90774	CPT09	rn
96374	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX	90774	CPT09	rn
96374	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX	90774	CPT09	rn
96374	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX	90774	CPT09	rn
96375	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ	90775	CPT09	rn
96375	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		ZZZ	90775	CPT09	rn
96375	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		ZZZ	90775	CPT09	rn
96375	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		ZZZ	90775	CPT09	rn
96375	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ	90775	CPT09	rn
96401	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		SEP04	
96401	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		SEP04	
96401	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		SEP04	
96401	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		SEP04	
96401	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		SEP04	
96401	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		SEP04	
96401	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		SEP04	
96401	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		SEP04	
96401	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		SEP04	
96401	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	1		XXX		SEP04	
96401	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		SEP04	
96402	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		SEP04	
96402	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		SEP04	
96402	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		SEP04	
96402	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		SEP04	
96402	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		SEP04	
96402	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		SEP04	
96402	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		SEP04	
96402	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		SEP04	
96402	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		SEP04	
96402	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	1		XXX		SEP04	
96402	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		SEP04	
96405	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		APR08	
96405	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		APR08	
96405	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	6		000		APR08	
96405	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	6		000		APR08	
96405	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		000		APR08	
96405	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		000		APR08	
96405	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	5		000		APR08	
96405	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	25		000		APR08	
96405	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	1		000		APR08	
96405	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	50		000		APR08	
96405	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	6		000		APR08	
96405	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		APR08	
96406	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.67	1		000		APR08	
96406	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		APR08	
96406	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.344	12		000		APR08	
96406	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	12		000		APR08	
96406	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	6		000		APR08	
96406	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	24		000		APR08	
96406	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	10		000		APR08	
96406	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	50		000		APR08	
96406	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.091	2		000		APR08	
96406	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	100		000		APR08	
96406	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		000		APR08	
96406	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		APR08	
96409	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		SEP04	
96409	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		SEP04	
96409	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		SEP04	
96409	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		SEP04	
96409	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		XXX		SEP04	
96409	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		SEP04	
96409	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		SEP04	
96409	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		SEP04	
96409	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		XXX		SEP04	
96409	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		XXX		SEP04	
96409	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		SEP04	
96409	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		XXX		SEP04	
96409	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	2		XXX		SEP04	
96409	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		SEP04	
96411	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		ZZZ		SEP04	
96411	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		ZZZ		SEP04	
96411	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		ZZZ		SEP04	
96411	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		ZZZ		SEP04	
96411	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		ZZZ		SEP04	
96411	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		ZZZ		SEP04	
96411	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		ZZZ		SEP04	
96411	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	1		ZZZ		SEP04	
96411	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ		SEP04	
96413	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		CPT14	Mar 11
96413	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	Mar 11
96413	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		XXX		CPT14	Mar 11
96413	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	2		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	1		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		XXX		CPT14	Mar 11
96413	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		XXX		CPT14	Mar 11
96413	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		XXX		CPT14	Mar 11
96413	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		XXX		CPT14	Mar 11
96413	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		XXX		CPT14	Mar 11
96413	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT14	Mar 11
96413	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT14	Mar 11
96413	RUC	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.81	1		XXX		CPT14	Mar 11
96416	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		CPT12	Oct 12
96416	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT12	Oct 12
96416	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		CPT12	Oct 12
96416	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT12	Oct 12
96416	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		XXX		CPT12	Oct 12
96416	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		CPT12	Oct 12
96416	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		XXX		CPT12	Oct 12
96416	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		XXX		CPT12	Oct 12
96416	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		XXX		CPT12	Oct 12
96416	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX		CPT12	Oct 12
96416	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX		CPT12	Oct 12
96416	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		XXX		CPT12	Oct 12
96416	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		CPT12	Oct 12
96416	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX		CPT12	Oct 12
96416	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX		CPT12	Oct 12
96416	RUC	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.794	2		XXX		CPT12	Oct 12
96416	RUC	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.039	1		XXX		CPT12	Oct 12
96417	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	3		ZZZ		CPT14	Mar 11
96417	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		ZZZ		CPT14	Mar 11
96417	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		ZZZ		CPT14	Mar 11
96417	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		ZZZ		CPT14	Mar 11
96417	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		ZZZ		CPT14	Mar 11
96417	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		ZZZ		CPT14	Mar 11
96417	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		ZZZ		CPT14	Mar 11
96417	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		ZZZ		CPT14	Mar 11
96417	RUC	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.039	1		ZZZ		CPT14	Mar 11
96420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
96420	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
96420	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
96420	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
96420	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX			
96420	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	4		XXX			
96420	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
96420	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
96420	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	60		XXX			
96420	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
96422	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
96422	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
96422	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
96422	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
96422	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		XXX			
96422	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX			
96422	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	4		XXX			
96422	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
96422	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
96422	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	60		XXX			
96422	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
96422	RUC	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.039	1		XXX			
96425	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
96425	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
96425	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		XXX			
96425	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
96425	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
96425	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		XXX			
96425	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		XXX			
96425	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
96425	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX			
96425	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		XXX			
96425	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX			
96425	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		XXX			
96425	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX			
96425	RUC	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.039	1		XXX			
96440	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		JAN08	
96440	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907	1		000		JAN08	
96440	RUC	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	329	1		000		JAN08	
96440	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000		JAN08	
96440	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		JAN08	
96440	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		000		JAN08	
96440	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000		JAN08	
96440	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		000		JAN08	
96440	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		JAN08	
96440	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		JAN08	
96440	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		JAN08	
96440	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000		JAN08	
96440	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.798	1		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000		JAN08	
96440	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000		JAN08	
96440	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000		JAN08	
96440	RUC	"Accessory, Procedure"	SD093	HEPA filter	item	4.962	1		000		JAN08	
96440	RUC	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	31	2		000		JAN08	
96440	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000		JAN08	
96440	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	7.852	1		000		JAN08	
96440	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		000		JAN08	
96440	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	32		000		JAN08	
96440	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.064	5		000		JAN08	
96440	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		000		JAN08	
96440	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000		JAN08	
96446	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT11	23
96446	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	2		000		CPT11	23
96446	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		CPT11	23
96446	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		CPT11	23
96446	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		CPT11	23
96446	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		000		CPT11	23
96446	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		000		CPT11	23
96446	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		000		CPT11	23
96446	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000		CPT11	23
96446	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	1		000		CPT11	23
96446	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		000		CPT11	23
96446	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		CPT11	23
96446	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		000		CPT11	23
96446	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		000		CPT11	23
96446	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		000		CPT11	23
96446	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		000		CPT11	23
96446	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	2		000		CPT11	23
96446	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		000		CPT11	23
96446	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.04	1		000		CPT11	23
96446	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		CPT11	23
96446	RUC	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.697	1		000		CPT11	23
96446	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	6		000		CPT11	23
96450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		SEP07	
96450	RUC	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	18.552	1		000		SEP07	
96450	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		SEP07	
96450	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000		SEP07	
96450	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000		SEP07	
96450	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000		SEP07	
96450	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000		SEP07	
96450	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		000		SEP07	
96450	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		000		SEP07	
96450	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	1		000		SEP07	
96450	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000		SEP07	
96450	RUC	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.697	1		000		SEP07	
96450	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	6		000		SEP07	
96521	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
96521	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		RUC05	
96521	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
96521	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		RUC05	
96521	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		RUC05	
96521	RUC	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	12.963	1		XXX		RUC05	
96521	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		RUC05	
96521	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	2		XXX		RUC05	
96521	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		RUC05	
96521	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		RUC05	
96521	RUC	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.794	2		XXX		RUC05	
96522	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
96522	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		RUC05	
96522	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
96522	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		RUC05	
96522	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		RUC05	
96522	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		XXX		RUC05	
96522	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		RUC05	
96522	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		RUC05	
96522	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.63	1		XXX		RUC05	
96522	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		XXX		RUC05	
96522	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		RUC05	
96522	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		RUC05	
96522	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		RUC05	
96523	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
96523	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		RUC05	
96523	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
96523	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		RUC05	
96523	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		RUC05	
96523	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		XXX		RUC05	
96523	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		XXX		RUC05	
96523	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		RUC05	
96523	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		XXX		RUC05	
96523	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		RUC05	
96523	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	1		XXX		RUC05	
96523	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.7	1		XXX		RUC05	
96542	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		SEP07	
96542	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	3		XXX		SEP07	
96542	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		XXX		SEP07	
96542	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX		SEP07	
96542	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		SEP07	
96542	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	1		XXX		SEP07	
96542	RUC	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.328	1		XXX		SEP07	
96542	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.175	1		XXX		SEP07	
96542	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	3		XXX		SEP07	
96542	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	3		XXX		SEP07	
96542	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX		SEP07	
96542	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	2		XXX		SEP07	
96542	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX		SEP07	
96542	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX		SEP07	
96542	RUC	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.697	1		XXX		SEP07	
96542	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.039	6		XXX		SEP07	
96567	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
96567	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX			
96567	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX			
96567	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	4		XXX			
96567	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX			
96567	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.6	30		XXX			
96567	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	0.5		XXX			
96567	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	3		XXX			
96567	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		XXX			
96567	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
96567	RUC	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.05	1		XXX			
96567	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
96900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		Sep04	
96900	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX		Sep04	
96900	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.44	1		XXX		Sep04	
96900	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	1		XXX		Sep04	
96900	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX		Sep04	
96902	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX		Jan04	23
96902	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.173	1		XXX		Jan04	23
96902	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX		Jan04	23
96902	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	1		XXX		Jan04	23
96902	RUC	Lab	SL122	"slide, microscope"	item	0.055	1		XXX		Jan04	23
96904	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT07	
96904	RUC	"Gown, Drape"	SB050	"bolster covers, disposable"	item	0.06	3		XXX		CPT07	
96904	RUC	"Gown, Drape"	SB051	Disposable underwear	item		1		XXX		CPT07	
96904	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.45	36		XXX		CPT07	
96904	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX		CPT07	
96904	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.028	1		XXX		CPT07	
96910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
96910	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
96910	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		XXX			
96910	RUC	"Gown, Drape"	SB021	"gloves, cotton"	pair	0.975	1		XXX			
96910	RUC	"Gown, Drape"	SB038	safety glasses	item	2.902	0.1		XXX			
96910	RUC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX			
96910	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	2		XXX			
96910	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX			
96910	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
96910	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
96910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX			
96910	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	30		XXX			
96910	RUC	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	2.75	3		XXX			
96910	RUC	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	240		XXX			
96910	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	0.954	4		XXX			
96910	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	0.3		XXX			
96910	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.011	100		XXX			
96910	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
96910	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.95	1		XXX			
96910	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.44	0.04		XXX			
96910	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	2		XXX			
96910	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6		XXX			
96910	RUC	Lab	SL087	lens paper	item	0.027	2		XXX			
96910	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
96910	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		XXX			
96910	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX			
96912	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
96912	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
96912	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		XXX			
96912	RUC	"Gown, Drape"	SB021	"gloves, cotton"	pair	0.975	1		XXX			
96912	RUC	"Gown, Drape"	SB038	safety glasses	item	2.902	0.1		XXX			
96912	RUC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX			
96912	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	2		XXX			
96912	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX			
96912	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		XXX			
96912	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
96912	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX			
96912	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	30		XXX			
96912	RUC	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	2.75	3		XXX			
96912	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	0.954	4		XXX			
96912	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	0.3		XXX			
96912	RUC	"Pharmacy, NonRx"	SJ034	methoxsalen 10mg (Oxsoralen)	item	6.156	3		XXX			
96912	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.011	100		XXX			
96912	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
96912	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.95	1		XXX			
96912	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.44	0.04		XXX			
96912	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	2		XXX			
96912	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	8		XXX			
96912	RUC	Lab	SL087	lens paper	item	0.027	2		XXX			
96912	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
96912	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		XXX			
96912	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	4		XXX			
96913	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	2		XXX			
96913	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX			
96913	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		XXX			
96913	RUC	"Gown, Drape"	SB021	"gloves, cotton"	pair	0.975	2		XXX			
96913	RUC	"Gown, Drape"	SB038	safety glasses	item	2.902	0.1		XXX			
96913	RUC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX			
96913	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	6		XXX			
96913	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	4		XXX			
96913	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	6		XXX			
96913	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	2		XXX			
96913	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
96913	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX			
96913	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	60		XXX			
96913	RUC	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	2.75	6		XXX			
96913	RUC	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	480		XXX			
96913	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	0.954	4		XXX			
96913	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	0.3		XXX			
96913	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.011	300		XXX			
96913	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	12		XXX			
96913	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.95	1		XXX			
96913	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.44	0.04		XXX			
96913	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	2		XXX			
96913	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	24		XXX			
96913	RUC	Lab	SL087	lens paper	item	0.027	2		XXX			
96913	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
96913	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	2		XXX			
96913	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	8		XXX			
96920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	Mar 13
96920	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT13	Mar 13
96920	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		000		CPT13	Mar 13
96920	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		000		CPT13	Mar 13
96920	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	Mar 13
96920	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT13	Mar 13
96920	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000		CPT13	Mar 13
96920	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		000		CPT13	Mar 13
96920	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	1		000		CPT13	Mar 13
96920	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	6		000		CPT13	Mar 13
96920	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		000		CPT13	Mar 13
96920	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	1		000		CPT13	Mar 13
96920	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		CPT13	Mar 13
96920	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	0.954	12		000		CPT13	Mar 13
96920	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	1		000		CPT13	Mar 13
96920	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	1		000		CPT13	Mar 13
96920	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.011	2		000		CPT13	Mar 13
96920	RUC	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		000		CPT13	Mar 13
96920	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	Mar 13
96920	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	1		000		CPT13	Mar 13
96920	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6		000		CPT13	Mar 13
96920	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.036	1		000		CPT13	Mar 13
96920	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		CPT13	Mar 13
96920	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	Mar 13
96921	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	Mar 13
96921	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT13	Mar 13
96921	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		000		CPT13	Mar 13
96921	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	2		000		CPT13	Mar 13
96921	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	Mar 13
96921	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT13	Mar 13
96921	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000		CPT13	Mar 13
96921	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	3		000		CPT13	Mar 13
96921	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	1		000		CPT13	Mar 13
96921	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	6		000		CPT13	Mar 13
96921	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		000		CPT13	Mar 13
96921	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	1		000		CPT13	Mar 13
96921	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		CPT13	Mar 13
96921	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	0.954	12		000		CPT13	Mar 13
96921	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	1		000		CPT13	Mar 13
96921	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	2		000		CPT13	Mar 13
96921	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.011	4		000		CPT13	Mar 13
96921	RUC	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		000		CPT13	Mar 13
96921	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	Mar 13
96921	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	1		000		CPT13	Mar 13
96921	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6		000		CPT13	Mar 13
96921	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.036	1		000		CPT13	Mar 13
96921	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		CPT13	Mar 13
96921	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	Mar 13
96922	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT13	Mar 13
96922	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT13	Mar 13
96922	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	2		000		CPT13	Mar 13
96922	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT13	Mar 13
96922	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000		CPT13	Mar 13
96922	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000		CPT13	Mar 13
96922	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000		CPT13	Mar 13
96922	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	4		000		CPT13	Mar 13
96922	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	1		000		CPT13	Mar 13
96922	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0215	6		000		CPT13	Mar 13
96922	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.153	1		000		CPT13	Mar 13
96922	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.052	1		000		CPT13	Mar 13
96922	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.417	1		000		CPT13	Mar 13
96922	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	0.954	12		000		CPT13	Mar 13
96922	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	2.3	1		000		CPT13	Mar 13
96922	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.06	4		000		CPT13	Mar 13
96922	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.011	8		000		CPT13	Mar 13
96922	RUC	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.281	1		000		CPT13	Mar 13
96922	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		000		CPT13	Mar 13
96922	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.599	1		000		CPT13	Mar 13
96922	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6		000		CPT13	Mar 13
96922	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.036	1		000		CPT13	Mar 13
96922	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	2		000		CPT13	Mar 13
96922	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	3		000		CPT13	Mar 13
97001	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
97002	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
97003	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		XXX			
97003	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.004	3		XXX			
97003	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	2		XXX			
97003	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.3	0.25		XXX			
97004	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	1		XXX			
97004	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.083	1		XXX			
97004	RUC	"Office Supply, Grocery"	SK049	nail polish	item	1.99	1		XXX			
97004	RUC	"Office Supply, Grocery"	SK053	"pad, nail polish remover"	item	0.044	2		XXX			
97004	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		XXX			
97004	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.203	0.5		XXX			
97012	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273	1		XXX			
97014	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
97014	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.312	2		XXX			
97014	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
97014	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.016	1		XXX			
97014	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
97014	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
97016	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	1		XXX			
97018	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX			
97018	RUC	"Office Supply, Grocery"	SK061	paraffin for therapy bath	lb	3.198	0.25		XXX			
97018	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.012	1.5		XXX			
97022	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
97022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
97022	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX			
97022	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.363	1		XXX			
97022	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	1		XXX			
97022	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	5		XXX			
97022	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX			
97022	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		XXX			
97022	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.689	1		XXX			
97028	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
97032	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.312	2		XXX			
97032	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX			
97032	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
97032	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.016	5		XXX			
97032	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
97032	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
97033	RUC	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	11.992	1		XXX			
97033	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.14	1		XXX			
97033	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		XXX			
97033	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
97033	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
97033	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
97034	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.689	1		XXX			
97035	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.016	1		XXX			
97036	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX			
97036	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.689	1		XXX			
97110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX			
97110	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5		XXX			
97112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX			
97112	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5		XXX			
97113	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX			
97113	RUC	"Gown, Drape"	SB041	"swimsuit, female for hydrotherapy"	item	6.874	1		XXX			
97113	RUC	Lab	SL032	culture media	ml	0.013	10		XXX			
97113	RUC	Lab	SL033	culture swab system (Culturette)	item	0.865	1		XXX			
97116	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX			
97116	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	1		XXX			
97124	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX			
97124	RUC	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.158	0.5		XXX			
97140	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX			
97140	RUC	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.158	0.5		XXX			
97150	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1				CPT13	Mar 16
97150	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	1				CPT13	Mar 16
97150	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1				CPT13	Mar 16
97150	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.3	1				CPT13	Mar 16
97150	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.203	1				CPT13	Mar 16
97530	RUC	"Kit, Pack, Tray"	SA040	"kit, woodworking"	kit	12.99	0.25		XXX			
97532	RUC	"Kit, Pack, Tray"	SA001	"kit, activity-crafts"	kit	2.25	1		XXX			
97533	RUC	"Kit, Pack, Tray"	SA028	"kit, sensory integration"	kit	2.08	1		XXX			
97533	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
97533	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX			
97535	RUC	"Kit, Pack, Tray"	SA007	"kit, cooking activity ingredients (mac-cheese)"	kit	1.11	1		XXX			
97535	RUC	"Office Supply, Grocery"	SK009	bath soap (one bar uou)	item	0.686	0.5		XXX			
97535	RUC	"Office Supply, Grocery"	SK080	toothbrush	item	0.805	1		XXX			
97535	RUC	"Office Supply, Grocery"	SK081	toothpaste	oz	0.498	0.25		XXX			
97535	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	2		XXX			
97597	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		XXX		CPT11	82
97597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT11	82
97597	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX		CPT11	82
97597	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		XXX		CPT11	82
97597	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		XXX		CPT11	82
97597	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT11	82
97597	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		XXX		CPT11	82
97597	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX		CPT11	82
97597	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		XXX		CPT11	82
97597	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		XXX		CPT11	82
97597	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		XXX		CPT11	82
97597	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		XXX		CPT11	82
97597	RUC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	72		XXX		CPT11	82
97597	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX		CPT11	82
97597	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX		CPT11	82
97597	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		XXX		CPT11	82
97597	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		XXX		CPT11	82
97597	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		XXX		CPT11	82
97597	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		XXX		CPT11	82
97598	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	1		ZZZ		CPT11	82
97598	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		ZZZ		CPT11	82
97598	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		ZZZ		CPT11	82
97598	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		ZZZ		CPT11	82
97598	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		ZZZ		CPT11	82
97598	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		ZZZ		CPT11	82
97598	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		ZZZ		CPT11	82
97598	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		ZZZ		CPT11	82
97605	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		XXX	97605	May 2014	May 37
97605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX	97605	May 2014	May 37
97605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	97605	May 2014	May 37
97605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX	97605	May 2014	May 37
97605	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX	97605	May 2014	May 37
97606	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	1		XXX	97606	May 2014	May 37
97606	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		XXX	97606	May 2014	May 37
97606	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	97606	May 2014	May 37
97606	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		XXX	97606	May 2014	May 37
97606	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX	97606	May 2014	May 37
97610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	97597	May 2014	May 63 (HCPAC)
97610	Invoice		SA119	"kit, low frequency ultrasound wound therapy (MIST)"		63.33	1		XXX	97597	May 2014	May 63 (HCPAC)
97610	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX	97597	May 2014	May 63 (HCPAC)
97610		"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		XXX	97597	May 2014	May 63 (HCPAC)
97610		"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		XXX	97597	May 2014	May 63 (HCPAC)
97610	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	1		XXX	97597	May 2014	May 63 (HCPAC)
97610		"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	36		XXX	97597	May 2014	May 63 (HCPAC)
97610	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX	97597	May 2014	May 63 (HCPAC)
97610	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		XXX	97597	May 2014	May 63 (HCPAC)
97750	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
97755	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.2		XXX			
97755	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	24		XXX			
97755	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.01	0.3		XXX			
97755	RUC	"Office Supply, Grocery"	SK039	"foam 3in, therapy positioning (per 1 sq in)"	item	0.012	6		XXX			
97755	RUC	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.372	0.2		XXX			
97755	RUC	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	2.82	0.2		XXX			
97760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX	97504		
97760	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	97504		
97760	RUC	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5		XXX	97504		
97760	RUC	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.422	7.5		XXX	97504		
97760	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	128		XXX	97504		
97761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	0.5		XXX	97520		
97761	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	1		XXX	97520		
97761	RUC	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.459	0.33		XXX	97520		
97762	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	97703		
97762	RUC	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5		XXX	97703		
97762	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.459	0.5		XXX	97703		
97762	RUC	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.459	1		XXX	97703		
97762	RUC	"Wound Care, Dressings"	SG060	outrigger line	yd	0.091	50		XXX	97703		
97762	RUC	"Wound Care, Dressings"	SG061	outrigger post	item	0.399	4		XXX	97703		
97762	RUC	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.422	7.5		XXX	97703		
97762	RUC	"Pharmacy, NonRx"	SJ047	splint straps 1in	item	1.299	1		XXX	97703		
97762	RUC	"Pharmacy, NonRx"	SJ048	splint straps 2in	item	1.525	2		XXX	97703		
97762	RUC	"Office Supply, Grocery"	SK071	"rubber bands, non-sterile"	item	0.02	6		XXX	97703		
97762	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	128		XXX	97703		
97802	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	0.25		XXX		CPT09	rv
97802	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT09	rv
97802	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.25		XXX		CPT09	rv
97803	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	0.25		XXX		CPT09	rv
97803	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CPT09	rv
97803	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.25		XXX		CPT09	rv
97804	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	0.25		XXX		PFS09	rv
97804	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		PFS09	rv
97804	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.1		XXX		PFS09	rv
97810	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX			
97810	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
97810	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
97810	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
97810	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.094	12		XXX			
97810	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
97811	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		ZZZ			
97811	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		ZZZ			
97811	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.094	12		ZZZ			
97811	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ			
97813	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
97813	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.094	12		XXX			
97813	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
97814	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		ZZZ			
97814	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.094	12		ZZZ			
97814	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		ZZZ			
98940	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	Nov HCPAC
98940	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000		CPT14	Nov HCPAC
98941	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	Nov HCPAC
98941	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000		CPT14	Nov HCPAC
98942	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000		CPT14	Nov HCPAC
98942	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000		CPT14	Nov HCPAC
98943	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX		CPT14	Nov HCPAC
98943	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX		CPT14	Nov HCPAC
98960	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.25		XXX		RUC05	
98961	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.25		XXX		RUC05	
98962	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.25		XXX		RUC05	
99170	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT14	May 27
99170	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000		CPT14	May 27
99170	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000		CPT14	May 27
99170	RUC	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.54	1		000		CPT14	May 27
99170	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000		CPT14	May 27
99170	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.501	1		000		CPT14	May 27
99170	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		000		CPT14	May 27
99170	RUC	Lab	SL146	tubed culture media	item	0.849	2		000		CPT14	May 27
99170	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.542	1		000		CPT14	May 27
99175	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		Jan04	14
99175	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	1		XXX		Jan04	14
99175	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		XXX		Jan04	14
99175	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		XXX		Jan04	14
99175	RUC	"Pharmacy, NonRx"	SJ030	ipecac syrup (1oz uou)	item	1.885	1		XXX		Jan04	14
99195	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX			
99195	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX			
99195	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX			
99195	RUC	"Hypodermic, IV"	SC004	blood collection bag	item	5.15	1		XXX			
99195	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.307	1		XXX			
99195	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX			
99195	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		XXX			
99195	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.52	1		XXX			
99195	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	1		XXX			
99195	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	3		XXX			
99195	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	3		XXX			
99201	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99202	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99203	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99204	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99205	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99211	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99212	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99213	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99214	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99215	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99241	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99242	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99243	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99244	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99245	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX			
99291	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99291	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.505	1		XXX		Mar03	20
99291	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.112	2		XXX		Mar03	20
99291	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	1		XXX		Mar03	20
99291	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	120		XXX		Mar03	20
99291	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.043	1		XXX		Mar03	20
99291	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	2		XXX		Mar03	20
99291	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.029	30		XXX		Mar03	20
99291	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		XXX		Mar03	20
99292	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	60		ZZZ		Mar03	20
99292	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	1.708	1		ZZZ		Mar03	20
99324	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99324	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99324	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99324	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99324	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99324	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99325	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99325	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99325	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99325	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99325	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99325	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99326	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99326	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99326	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99326	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99326	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99326	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99327	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99327	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99327	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99327	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99327	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99327	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99328	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99328	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99328	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99328	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99328	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99328	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99334	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99334	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99334	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99334	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99334	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99334	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99335	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99335	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99335	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99335	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99335	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99335	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99336	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99336	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99336	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99336	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99336	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99336	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99337	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		RUC05	
99337	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		RUC05	
99337	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		RUC05	
99337	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		RUC05	
99337	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		RUC05	
99337	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		RUC05	
99341	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99341	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99341	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99341	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99341	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99341	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99342	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99342	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99342	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99342	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99342	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99342	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99343	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99343	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99343	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99343	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99343	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99343	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99344	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99344	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99344	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99344	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99344	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99344	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99345	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99345	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99345	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99345	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99345	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99345	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99347	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99347	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99347	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99347	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99347	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99347	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99348	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99348	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99348	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99348	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99348	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99348	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99349	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99349	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99349	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99349	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99349	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99349	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99350	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		Mar03	20
99350	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		Mar03	20
99350	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		Mar03	20
99350	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		Mar03	20
99350	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99350	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		Mar03	20
99363	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT07	
99366	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.33		XXX		CPT08	HP
99381	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99381	RUC	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1		XXX		Mar03	20
99381	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar03	20
99382	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99382	RUC	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1		XXX		Mar03	20
99382	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar03	20
99383	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99384	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99385	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99386	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99387	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99391	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99391	RUC	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1		XXX		Mar03	20
99391	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar03	20
99392	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99392	RUC	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1		XXX		Mar03	20
99392	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX		Mar03	20
99393	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99394	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99395	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99396	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99397	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99401	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99402	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99403	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99404	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99406	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT08	V
99407	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT08	V
99408	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT08	W
99409	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT08	W
99411	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99411	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99412	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		Mar03	20
99412	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99420	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		Mar03	20
99461	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX	99432	Mar03	rn
99461	RUC	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1		XXX	99432	Mar03	rn
99461	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.041	1		XXX	99432	Mar03	rn
99495	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		CPT13	CMS
99496	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		CPT13	CMS
G0101	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX	99212		
G0104	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		000	45330		
G0104	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		000	45330		
G0104	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	5		000	45330		
G0104	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000	45330		
G0104	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000	45330		
G0104	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	3		000	45330		
G0104	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000	45330		
G0104	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		000	45330		
G0104	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000	45330		
G0104	RUC	"Accessory, Procedure"	SD040	"cytology, brush"	item	0.2	1		000	45330		
G0104	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000	45330		
G0104	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000	45330		
G0104	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000	45330		
G0104	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.002	3		000	45330		
G0104	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000	45330		
G0104	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000	45330		
G0104	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000	45330		
G0104	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000	45330		
G0104	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000	45330		
G0104	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000	45330		
G0104	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000	45330		
G0104	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000	45330		
G0105	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		000	45380		
G0105	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	45380		
G0105	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000	45380		
G0105	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000	45380		
G0105	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000	45380		
G0105	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000	45380		
G0105	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000	45380		
G0105	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000	45380		
G0105	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000	45380		
G0105	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000	45380		
G0105	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000	45380		
G0105	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000	45380		
G0105	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000	45380		
G0105	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		000	45380		
G0105	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		000	45380		
G0105	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000	45380		
G0105	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000	45380		
G0105	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000	45380		
G0105	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	45380		
G0106	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	32.985	1		XXX	74280		
G0106	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX	74280		
G0106	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	74280		
G0106	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	74280		
G0106	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX	74280		
G0108	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	0.5		XXX	G0420	CPT11	
G0108	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	4		XXX	G0420	CPT11	
G0108	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.5		XXX	G0420	CPT11	
G0109	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	0.25		XXX	G0420	CPT11	
G0109	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX	G0420	CPT11	
G0109	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.1		XXX	G0420	CPT11	
G0117	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	92012	Apr06	J
G0117	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX	92012		
G0117	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	92012		
G0118	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	1.997	1		XXX	92012	Apr06	J
G0118	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	3		XXX	92012		
G0118	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	92012		
G0120	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	32.985	1		XXX	74280		
G0120	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX	74280		
G0120	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	74280		
G0120	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	74280		
G0120	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX	74280		
G0121	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	6		000	45380		
G0121	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	2		000	45380		
G0121	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		000	45380		
G0121	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000	45380		
G0121	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000	45380		
G0121	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000	45380		
G0121	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000	45380		
G0121	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000	45380		
G0121	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.089	3		000	45380		
G0121	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	2		000	45380		
G0121	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000	45380		
G0121	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000	45380		
G0121	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000	45380		
G0121	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.62	1		000	45380		
G0121	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	4		000	45380		
G0121	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000	45380		
G0121	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	3.07	1		000	45380		
G0121	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.422	1		000	45380		
G0121	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	45380		
G0122	RUC	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	32.985	1		XXX	74280		
G0122	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	2		XXX	74280		
G0122	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX	74280		
G0122	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	74280		
G0122	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX	74280		
G0124	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX	88151		
G0124	RUC	"Accessory, Procedure"	SD040	"cytology, brush"	item	0.2	1		XXX	88151		
G0124	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	4		XXX	88151		
G0124	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX	88151		
G0124	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		XXX	88151		
G0124	RUC	Lab	SL071	fixative spray	ml	0.047	1		XXX	88151		
G0124	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX	88151		
G0124	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.6		XXX	88151		
G0124	RUC	Lab	SL122	"slide, microscope"	item	0.055	1		XXX	88151		
G0124	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	3		XXX	88151		
G0127	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		000			
G0127	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000			
G0127	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000			
G0127	RUC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000			
G0127	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		000			
G0127	RUC	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.301	1		000			
G0127	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
G0127	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	2		000			
G0127	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		000			
G0127	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.409	1		000			
G0127	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
G0130	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
G0130	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
G0166	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
G0166	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
G0166	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	1		XXX			
G0166	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	3		XXX			
G0166	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX			
G0166	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX			
G0166	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
G0168	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		000	12001		
G0168	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		000	12001		
G0168	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	4	2	000	12001		
G0168	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000	12001		
G0168	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1	1	000	12001		
G0168	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		000	12001		
G0168	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	14	7	000	12001		
G0168	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.16	1		000	12001		
G0168	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.694	1		000	12001		
G0168	RUC	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	30.068	1		000			
G0168	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	1	1	000	12001		
G0168	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.093	6		000	12001		
G0168	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2	2	000	12001		
G0168	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	20		000	12001		
G0168	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	20	10	000	12001		
G0168	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	10		000	12001		
G0168	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	12001		
G0245	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX	99202		
G0246	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX	99212		
G0247	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	5.339	1		XXX	97597	CPT12	
G0247	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	97597	CPT12	
G0247	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.494	1		XXX	97597	CPT12	
G0247	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.557	1		XXX	97597	CPT12	
G0247	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		XXX	97597	CPT12	
G0247	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX	97597	CPT12	
G0247	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.391	2		XXX	97597	CPT12	
G0247	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	97597	CPT12	
G0247	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		XXX	97597	CPT12	
G0247	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	2		XXX	97597	CPT12	
G0247	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.506	1		XXX	97597	CPT12	
G0247	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		XXX	97597	CPT12	
G0247	RUC	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.003	72		XXX	97597	CPT12	
G0247	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	2		XXX	97597	CPT12	
G0247	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	12		XXX	97597	CPT12	
G0247	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.074	1		XXX	97597	CPT12	
G0247	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.542	1		XXX	97597	CPT12	
G0247	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.003	10		XXX	97597	CPT12	
G0247	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07	1		XXX	97597	CPT12	
G0248	RUC	"Hypodermic, IV"	SC021	lancet	item	0.038	4		XXX			
G0248	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
G0248	RUC	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	21.875	4		XXX			
G0248	RUC	"Office Supply, Grocery"	SK011	"battery, AAA"	item	0.485	3		XXX			
G0248	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX			
G0249	RUC	"Hypodermic, IV"	SC021	lancet	item	0.038	4		XXX			
G0249	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	4		XXX			
G0249	RUC	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	21.875	4		XXX			
G0268	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
G0268	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	2		000			
G0268	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.558	1		000			
G0268	RUC	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.919	2		000			
G0268	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	2		000			
G0268	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
G0268	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.03	2		000			
G0270	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		XXX	97803	PFS07	
G0270	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX	97803	PFS07	
G0270	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.33		XXX	97803		
G0271	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		XXX	97804	PFS07	
G0271	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX	97804	PFS07	
G0271	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.1		XXX	97804		
G0277		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	0.25		XXX	99183	March 2014	March 13
G0277	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	0.5		XXX	99183	March 2014	March 13
G0277		"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	7.5		XXX	99183	March 2014	March 13
G0277	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.003	3000		XXX	99183	March 2014	March 13
G0277		"Pharmacy, NonRx"	SJ063	urinal	item	2.8967	0.25		XXX	99183	March 2014	March 13
G0277		"Pharmacy, NonRx"	SJ069	"test strip, glucose (blood test)"	item	0.721	1		XXX	99183	March 2014	March 13
G0277		Lab	SL088	lint-free cloth	item	0.183	1		XXX	99183	March 2014	March 13
G0277		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.25		XXX	99183	March 2014	March 13
G0277		Infection Control	SM025	"specula tips, otoscope"	item	0.03	0.5		XXX	99183	March 2014	March 13
G0281	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
G0281	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.312	2		XXX			
G0281	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
G0281	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.016	1		XXX			
G0281	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
G0281	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
G0283	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX			
G0283	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.312	2		XXX			
G0283	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		XXX			
G0283	RUC	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.016	1		XXX			
G0283	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	1		XXX			
G0283	RUC	"Office Supply, Grocery"	SK068	razor	item	0.389	1		XXX			
G0329	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX			
G0329	RUC	"Gown, Drape"	SB049	"condom, Diapulse, Asepticap"	item	0.69	1		XXX			
G0329	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX			
G0341	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	23	1		000		CPT12	
G0341	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.6	1		000		CPT12	
G0341	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000		CPT12	
G0341	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000		CPT12	
G0341	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.812	1		000		CPT12	
G0341	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.62	1		000		CPT12	
G0341	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000		CPT12	
G0341	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.504	1		000		CPT12	
G0341	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	15.949	1		000		CPT12	
G0341	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.282	4		000		CPT12	
G0341	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	3		000		CPT12	
G0341	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.671	2		000		CPT12	
G0341	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000		CPT12	
G0341	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000		CPT12	
G0341	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		000		CPT12	
G0341	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	19.75	1		000		CPT12	
G0341	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	11.883	1		000		CPT12	
G0341	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.435	2		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	35.5	1		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	20.5	1		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	62	1		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	17	1		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.775	1		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	337.88	1		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3	2		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	14.5	1		000		CPT12	
G0341	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	180	1		000		CPT12	
G0341	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.535	1		000		CPT12	
G0341	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.139	4		000		CPT12	
G0341	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.144	2		000		CPT12	
G0341	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.771	1		000		CPT12	
G0341	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	2		000		CPT12	
G0341	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116	1		000		CPT12	
G0341	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	6		000		CPT12	
G0341	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.193	5		000		CPT12	
G0341	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.035	10		000		CPT12	
G0341	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.811	2		000		CPT12	
G0341	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.008	60		000		CPT12	
G0341	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		000		CPT12	
G0342	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		2.5	090	47563	CPT12	
G0342	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	5.056		1	090	47563	CPT12	
G0343	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.054		1	090	47420		
G0343	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090		Apr06	J
G0343	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	47420	CPT12	
G0343	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222		3	090	47420		
G0343	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84		6	090	47420		
G0343	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090	47420		
G0343	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184		1	090	47420		
G0343	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.273		3	090	47420		
G0343	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798		3	090	47420		
G0343	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.116		3	090	47420		
G0343	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002		18	090	47420		
G0343	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.09		0.5	090	47420		
G0343	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.07		3	090	47420		
G0365	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX	93971		
G0365	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	0.35	1		XXX	93971		
G0365	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT12	
G0365	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	30		XXX		CPT12	
G0365	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	93971		
G0365	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	0.34		XXX	93971		
G0365	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.046	2		XXX	93971		
G0389	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX	76775	CPT07	
G0389	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	2		XXX	76775	CPT07	
G0389	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX	76775	CPT07	
G0389	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX	76775	CPT07	
G0389	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.23	1		XXX	76775	CPT07	
G0389	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.013	60		XXX	76775	CPT07	
G0389	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	0.33		XXX	76775	CPT07	
G0389	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.037	2		XXX	76775	CPT07	
G0396	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	99408	CPT08	W
G0397	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX	99409	CPT08	W
G0402	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX		CPT11	
G0402	RUC	"Office Supply, Grocery"	SK100	preventive assessment forms	item	3	1		XXX		CPT11	
G0403	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX	93000		
G0403	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX	93000		
G0403	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX	93000		
G0412	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		3	090	27215	CPT09	rv
G0412	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	27215	CPT09	rv
G0413	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	27216	CPT09	rv
G0413	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	27216	CPT09	rv
G0414	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	27217	CPT09	rv
G0414	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	27217	CPT09	rv
G0415	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143		4	090	27218	CPT09	rv
G0415	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.907		1	090	27218	CPT09	rv
G0420	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	1		XXX		CMS10	
G0420	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CMS10	
G0420	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CMS10	
G0421	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.08	0.5		XXX		CMS10	
G0421	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.005	2		XXX		CMS10	
G0421	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.2		XXX		CMS10	
G0429	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000	11951	CPT11	
G0429	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.84	1		000	11951	CPT11	
G0429	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.159	1		000	11951	CPT11	
G0429	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000	11951	CPT11	
G0436	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT11	
G0437	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT11	
G0438	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX	99204	CPT11	
G0438	RUC	"Office Supply, Grocery"	SK100	preventive assessment forms	item	3	1		XXX	G0402	CPT11	
G0439	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	2.984	1		XXX	99214	CPT11	
G0439	RUC	"Office Supply, Grocery"	SK100	preventive assessment forms	item	3	1		XXX	99214	CPT11	
G0442	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.5		XXX			
G0443	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.5		XXX			
G0444	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.5		XXX			
G0445	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.5		XXX			
G0446	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.5		XXX			
G0447	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.5		XXX			
G0451	RUC	"Office Supply, Grocery"	SK001	ages & stages questionnaire	item	0.4	1		XXX	96110	CPT12	
G0455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT13	May 17
G0455	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT13	May 17
G0455	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX		CPT13	May 17
G0455	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.196	1		XXX		CPT13	May 17
G0455	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		XXX		CPT13	May 17
G0455	CMS	"Accessory, Procedure"	SD277	polypropelene funnel	item	0.3	1		XXX		CPT13	May 17
G0455	CMS	Lab	SL018	"beaker, 250 ml"	item	0.854	1		XXX		CPT13	May 17
G0455	CMS	Lab	SL020	bleach	ml	0.001	300		XXX		CPT13	May 17
G0455	CMS	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.568	1		XXX		CPT13	May 17
G0455	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.041	50		XXX		CPT13	May 17
G0455	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.471	1		XXX		CPT13	May 17
G0473	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	0.1		XXX			
G6001	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.688	1		XXX		CPT12	Oct 8
G6001	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		XXX		CPT12	Oct 8
G6001	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	32		XXX		CPT12	Oct 8
G6002	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT12	Oct 8
G6003	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6003	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6003	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6003	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6003	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6004	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6004	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6004	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6004	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6004	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6005	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6005	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6005	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6005	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6005	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6006	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6006	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6006	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6006	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6006	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6007	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6007	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6007	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6007	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6007	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6008	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6008	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6008	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	2		XXX			
G6008	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6008	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6009	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6009	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6009	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6009	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6009	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6010	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6010	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6010	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6010	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6010	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6011	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6011	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6011	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6011	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6011	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6012	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6012	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6012	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6012	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6012	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6013	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6013	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6013	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6013	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6013	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6014	RUC	"Gown, Drape"	SB037	pillow case	item	0.307	2		XXX			
G6014	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	2		XXX			
G6014	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.048	1		XXX			
G6014	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	10		XXX			
G6014	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.163	1		XXX			
G6015	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		XXX		CPT12	Oct 8
G6015	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		XXX		CPT12	Oct 8
G6015	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.184	1		XXX		CPT12	Oct 8
G6015	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	7.82	1		XXX		CPT12	Oct 8
G6015	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	4		XXX		CPT12	Oct 8
G6015	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.002	8		XXX		CPT12	Oct 8
G6015	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.165	1		XXX		CPT12	Oct 8
G6015	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	2		XXX		CPT12	Oct 8
G6015	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.221	2		XXX		CPT12	Oct 8
G6015	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.036	7		XXX		CPT12	Oct 8
G6019	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
G6019	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
G6019	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	2		000			
G6019	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.222	1		000			
G6019	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		000			
G6019	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000			
G6019	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	2		000			
G6019	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	2		000			
G6019	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
G6019	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
G6019	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
G6019	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
G6019	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
G6019	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.795	1		000			
G6019	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
G6019	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
G6019	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
G6019	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.798	1		000			
G6019	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
G6019	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
G6019	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
G6019	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
G6019	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
G6019	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	1.067	1		000			
G6019	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
G6019	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6		000			
G6019	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
G6019	RUC	Infection Control	SM023	scrub brush (impregnated)	item	0.599	2		000			
G6022	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
G6022	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
G6022	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
G6022	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
G6022	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
G6022	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
G6022	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
G6022	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
G6022	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
G6022	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
G6022	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
G6022	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
G6022	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
G6022	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	8		000			
G6022	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
G6022	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
G6022	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
G6022	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
G6022	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
G6022	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
G6022	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
G6022	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
G6024	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.311	1		000			
G6024	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	1.143	1		000			
G6024	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.209	3		000			
G6024	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3		000			
G6024	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.199	3		000			
G6024	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.338	3		000			
G6024	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.53	1		000			
G6024	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.881	1		000			
G6024	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	3.908	1		000			
G6024	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	10.75	1		000			
G6024	RUC	"Accessory, Procedure"	SD100	nasal cannula	item	0.732	1		000			
G6024	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.961	1		000			
G6024	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.063	1		000			
G6024	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.007	3		000			
G6024	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.035	10		000			
G6024	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.216	1		000			
G6024	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.066	4		000			
G6024	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		000			
G6024	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.013	6		000			
G6024	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		000			
G6024	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.992	1		000			
G6024	RUC	Infection Control	SM015	enzymatic detergent	oz	0.229	1		000			
G6024	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.165	6.4		000			
G6024	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	1.012	1		000			
G9187	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.038	1		XXX		CPT14	CMS
G9187	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.084	1		XXX		CPT14	CMS
G9187	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.013	2		XXX		CPT14	CMS
G9187	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.012	1		XXX		CPT14	CMS
G9187	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.55	1		XXX		CPT14	CMS
G9187	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.03	1		XXX		CPT14	CMS
P3001	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.188	1		XXX			
P3001	RUC	"Accessory, Procedure"	SD040	"cytology, brush"	item	0.2	1		XXX			
P3001	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.008	4		XXX			
P3001	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1		XXX			
P3001	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.087	1		XXX			
P3001	RUC	Lab	SL071	fixative spray	ml	0.047	1		XXX			
P3001	RUC	Lab	SL085	label for microscope slides	item	0.026	1		XXX			
P3001	RUC	Lab	SL095	mounting media (Histomount)	ml	0.035	0.6		XXX			
P3001	RUC	Lab	SL122	"slide, microscope"	item	0.055	1		XXX			
P3001	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	3		XXX			
Q0035	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.09	10		XXX	93000		
Q0035	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.013	2		XXX	93000		
Q0035	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.067	4		XXX	93000		
Q0091	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.533	1		XXX			
Q0091	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX			
